Wart Treatment: Black Spots After Cryotherapy Explained

Q: Wart Treatment: Black Spots After Cryotherapy Explained

Hello： Viral warts appear with small black dots due to the obstruction of microcapillaries in the epidermis. <br>Based on the description, it is possible that after freezing treatment, scabbing occurs, making the black dots more noticeable. <br>It is recommended to return for fol

After cryotherapy for warts on the hand, there is an increase in black spots on the warts?

Hello Doctor, I have a wart on my index finger that is about 5mm in diameter and has been present for over six months.
After undergoing cryotherapy last Wednesday (March 25, 2015), there were no blisters near the wart, but after some time, I noticed that the black spots within the wart have increased.
Is this a normal occurrence? I am quite concerned.
After the treatment, I started drinking a lemon and job's tears beverage (which contains lemon, job's tears, ginger, sugar, etc.) from the supermarket.
Will this affect the treatment? Thank you, Doctor.

JimHo, 20~29 year old female. Ask Date: 2015/03/31

Dr. Li Yufen reply Dermatology

Hello: Viral warts appear with small black dots due to the obstruction of microcapillaries in the epidermis.
Based on the description, it is possible that after freezing treatment, scabbing occurs, making the black dots more noticeable.
It is recommended to return for follow-up treatment until they completely fall off and the skin returns to normal.
Lemon and Job's tears water will not affect the efficacy of the cryotherapy.
Thank you!

Reply Date: 2015/03/31

More Info

Cryotherapy is a common treatment for warts, which are benign growths caused by the human papillomavirus (HPV). During this procedure, liquid nitrogen is applied to the wart, freezing it and causing the tissue to die. After treatment, it is not uncommon for patients to notice changes in the wart, including the appearance of black spots.
These black spots are typically a result of the treatment process. When the wart is frozen, it can cause small blood vessels within the wart to rupture, leading to the formation of tiny blood clots. These clots can appear as black spots within the wart. This phenomenon is generally a normal part of the healing process and does not indicate that the treatment has failed. In fact, the presence of these black spots can be a sign that the cryotherapy is working, as it indicates that the wart tissue is undergoing necrosis (death of the tissue).

It is important to monitor the wart after treatment. If the black spots continue to grow or if you notice any other concerning symptoms, such as increased pain, swelling, or discharge, it would be wise to consult your healthcare provider. They can assess the situation and determine if further treatment is necessary.

Regarding your consumption of lemon and barley water after the cryotherapy, it is unlikely that this will have any significant impact on the treatment of your wart. While a healthy diet can support your immune system, which plays a role in fighting off HPV, the ingredients in your drink should not interfere with the healing process of the wart. However, it is always a good idea to discuss any dietary changes or supplements with your healthcare provider, especially if you have concerns about their effects on your health or treatment outcomes.

In summary, the appearance of black spots after cryotherapy for warts is generally a normal occurrence and can indicate that the treatment is effective. Continue to monitor the wart for any changes, and maintain open communication with your healthcare provider regarding your treatment and any concerns you may have. If you have any further questions or if the wart does not improve, do not hesitate to seek medical advice.

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