The wound after wart treatment has enlarged and appears less optimistic than before?
Hello, I have a small red spot (about 0.1 cm) between my toes that is somewhat painful.
After a month without improvement, I saw a dermatologist who diagnosed it as a "wart." After cryotherapy, it turned into a wound larger than 1 cm.
I had a follow-up appointment, but it has now been a month, and the wound shows no signs of healing and is even more painful than before.
The wound has also enlarged.
At this point, should I consider seeing a surgeon, or should I continue to see the dermatologist? Thank you for your help.
Ying Ying, 20~29 year old female. Ask Date: 2011/02/16
Dr. Huang Junxiong reply Surgery
Hello: If you still have doubts, you may seek a second opinion, such as from an orthopedic surgeon or a general surgeon.
Thank you.
Reply Date: 2011/02/16
More Info
It sounds like you are dealing with a frustrating situation regarding a wart treatment wound that has not improved and has actually worsened. Based on your description, it is indeed advisable to consider seeing a surgeon or a specialist in a surgical department, especially since the wound has expanded and is causing increased pain.
When a wart is treated with cryotherapy (freezing), it is common for the area to become inflamed and for a blister to form. However, if the wound has not healed after a month and is larger than it was initially, this could indicate a few potential issues. One possibility is that the treatment may not have fully eradicated the wart, leading to ongoing irritation and inflammation. Another concern could be an infection, especially if the area is painful and shows signs of increased redness or discharge.
In general, if a wound is not healing as expected, it is crucial to reassess the situation. Here are some reasons why seeing a surgeon or a wound care specialist may be beneficial:
1. Assessment of the Wound: A surgeon can provide a thorough examination of the wound to determine the underlying cause of the delayed healing. They may assess for signs of infection, necrotic tissue, or other complications that may require intervention.
2. Possible Surgical Intervention: If the wart is still present and contributing to the wound's failure to heal, a surgeon may consider excising the wart or performing a different type of procedure that could be more effective than cryotherapy.
3. Management of Pain and Symptoms: A surgeon can also address the pain you are experiencing. They may prescribe medications or recommend treatments that can alleviate discomfort while promoting healing.
4. Referral to a Specialist: If the surgeon determines that the issue is still related to dermatological concerns, they may refer you back to a dermatologist with specific recommendations based on their findings.
5. Wound Care Expertise: Surgeons and wound care specialists often have access to advanced wound care techniques and products that can promote healing, such as specialized dressings or topical treatments.
In summary, given that your wart treatment wound has worsened and is causing you pain, it is reasonable to seek a surgical consultation. While continuing to follow up with your dermatologist is also an option, a surgeon may provide a more comprehensive evaluation and treatment plan that addresses the current complications effectively.
Additionally, it is essential to keep the wound clean and protected while you seek further medical advice. Avoid any home remedies or treatments that have not been recommended by a healthcare professional, as these could potentially worsen the situation.
In conclusion, don't hesitate to reach out to a surgeon or a specialized wound care clinic for a second opinion. Early intervention can often lead to better outcomes and prevent further complications.
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