Managing Pain and Healing After Skin Treatments: A Patient's Guide - Dermatology

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(Anal warts)... Is this the result of not following the prescribed guidelines after using wart treatment?


I went for cryotherapy for the first time and a few days later, I bought a wart treatment ointment and applied it for three days, which seemed to work well.
However, I was advised to stop for four days, and I was worried it wouldn't be effective, so I applied it for five days before stopping.
Now it seems like my skin has developed an ulcer...
After having a bowel movement, it hurts a lot whenever it comes into contact with water!!! I have already stopped the medication for three days...
I don't know how many more days I should wait before continuing the treatment?? How can I help the already damaged skin heal?? (So that it won't hurt when it touches water)...??? I also don't understand why after the second cryotherapy, it has been more painful and lasted longer than the first time.
I remember that after the first cryotherapy, the pain subsided in about three to four days, but now it has been four to five days since the second cryotherapy and it still hurts...
I wonder if this time the cryotherapy targeted smaller lesions...
which could explain why it hurts even when flushing after a bowel movement...
But if that's the case, how many more cryotherapy sessions will I need??? I don't even know how many lesions I have to treat??? Each time I have three to four lesions treated...
At this rate, I don't know when I will fully recover...
Currently, I realize that I might have applied the wart treatment ointment for too many days, which is causing the surrounding skin to hurt when it comes into contact with water.
So what should I do now???? I have started applying another ointment at night, but I wake up in pain every morning...!! It's always the area around the anus that hurts...
I didn't expect that the new ointment, which claims to be gentle, would cause this...
Should I apply anything else now???? What should I do???? I am having difficulty even touching water now.....

kevin, 30~39 year old female. Ask Date: 2006/11/22

Dr. Hong Zhengsheng reply Dermatology


Hello Kevin: Based on your description, it is currently not possible to determine your specific condition.
The best course of action for you is to see a physician as soon as possible.
I recommend that when you notice the symptoms described on your skin, you should promptly visit a public hospital in your city or county and consult with a dermatologist.
All the physicians at our department are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/11/22

More Info


Managing pain and promoting healing after skin treatments, such as cryotherapy for warts, can be a challenging process, especially when complications arise like skin ulcers or increased sensitivity. It’s essential to approach this situation with care and follow some best practices for wound care and pain management.

Firstly, it’s important to understand that after cryotherapy, the treated area may experience pain, swelling, and even blistering as part of the healing process. The pain you’re experiencing, especially when the area comes into contact with water, suggests that the skin may be irritated or damaged. Here are some steps to help manage your symptoms and promote healing:
1. Avoid Irritation: Since you’ve noted that water causes pain, it’s crucial to keep the area dry and avoid any products that may further irritate the skin. If you need to clean the area, consider using a gentle, non-irritating cleanser and patting it dry instead of rubbing.

2. Medication Use: You mentioned using a wart treatment cream (化疣敵) for longer than recommended, which may have contributed to the skin irritation. It’s advisable to follow the instructions provided with the medication closely. If the skin is already damaged, it may be best to refrain from applying any topical treatments until the skin has healed sufficiently. Consult with your healthcare provider about when to resume treatment and whether to continue with the current medication or switch to something else.

3. Pain Management: For pain relief, over-the-counter pain medications such as acetaminophen or ibuprofen can be helpful. However, consult with your physician before taking any medication, especially if you have underlying health conditions or are taking other medications.

4. Moisturizing: Once the skin begins to heal, applying a gentle, fragrance-free moisturizer can help keep the area hydrated and promote healing. Avoid any products that contain alcohol or fragrances, as these can cause further irritation.

5. Monitoring for Infection: Keep an eye on the treated area for signs of infection, such as increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, it’s essential to seek medical attention promptly.

6. Follow-Up Care: Since you’ve undergone cryotherapy multiple times, it’s important to have a follow-up appointment with your dermatologist or healthcare provider. They can assess the healing process, determine if further cryotherapy is necessary, and adjust your treatment plan accordingly. They may also provide alternative treatments if the current method is not yielding the desired results.

7. Patience and Healing Time: Healing from skin treatments can take time, and each individual’s response can vary. It’s not uncommon for the second treatment to feel different from the first, especially if the area was more sensitive or if the treatment was more aggressive. Allow your skin the time it needs to heal before considering additional treatments.

8. Avoid Self-Diagnosis: It’s understandable to be concerned about the number of treatments needed and the duration of healing. However, self-diagnosing the condition or determining the number of treatments required can lead to unnecessary anxiety. Trust your healthcare provider to guide you through the process based on their clinical assessment.

In summary, managing pain and promoting healing after skin treatments requires a careful approach. Focus on avoiding irritation, managing pain effectively, and seeking professional guidance for ongoing care. Your healthcare provider is your best resource for navigating these challenges and ensuring that your skin heals properly.

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