Wart Treatment: What to Expect After Using Wart Solution - Dermatology

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I would like to inquire about issues after using wart treatment solution?


I have small warts, about 4 to 5, on the bottom of my big toe.
I am currently using a wart treatment solution.
The warts have developed black and gray heads, and they have been itching recently.
When I press on them hard, it causes some pain.
What could this situation be?

Liang, 20~29 year old female. Ask Date: 2015/07/24

Dr. Li Yufen reply Dermatology


Hello: The main ingredients of the wart treatment solution are salicylic acid and lactic acid, which can be irritating.
For the correct usage, you can refer to the educational article from the Dermatology Department of National Taiwan University Hospital at https://www.ntuh.gov.tw/derm/healthcareCenter/healthCenter/%E6%B2%BB%E7%96%A3%E6%B6%B2.aspx Thank you!

Reply Date: 2015/07/24

More Info


When dealing with warts, particularly on the feet, it's essential to understand the treatment process and what to expect as you use wart solutions. Warts are benign growths caused by the human papillomavirus (HPV), and they can appear anywhere on the body, including the soles of the feet, where they are often referred to as plantar warts.

From your description, it sounds like you are currently using a topical wart treatment, which is common for managing these growths. The appearance of black or gray heads on the warts is a typical sign of the treatment working. These dark spots are often thrombosed capillaries, which means that small blood vessels within the wart are dying as the wart is being treated. This can be a positive indication that the wart is responding to the treatment.

The itching and pain you are experiencing when applying pressure to the warts can be attributed to the irritation caused by the wart solution. Many wart treatments contain salicylic acid or other active ingredients that work by exfoliating the skin and breaking down the wart tissue. This process can lead to inflammation and sensitivity in the area, especially if the treatment is applied too aggressively or too frequently.

Here are some key points to consider as you continue your treatment:
1. Patience is Key: Wart treatments often take time to show results. It can take several weeks or even months for the wart to completely disappear, depending on its size and the treatment method used.

2. Follow Instructions: Ensure you are following the instructions provided with the wart solution carefully. Overuse or misuse can lead to increased irritation and may prolong the healing process.

3. Avoid Picking: While it may be tempting to pick at the wart or apply excessive pressure, this can lead to further irritation, pain, and even potential infection. It's best to let the treatment do its work.

4. Monitor Symptoms: If the wart becomes increasingly painful, shows signs of infection (such as increased redness, swelling, or pus), or if the treatment does not seem to be effective after a reasonable period, it is advisable to consult a healthcare professional. They may recommend alternative treatments, such as cryotherapy (freezing the wart), laser therapy, or other medical interventions.

5. Consider Pain Management: If the pain becomes bothersome, consider using over-the-counter pain relievers, such as ibuprofen or acetaminophen, to help manage discomfort. However, always consult with a healthcare provider before starting any new medication.

6. Follow-Up: If you have been using the wart solution for several weeks without improvement, or if you have concerns about the treatment or the appearance of the warts, it may be beneficial to schedule a follow-up appointment with a dermatologist or healthcare provider. They can assess the situation and provide guidance on the next steps.

In summary, the symptoms you are experiencing—black heads, itching, and pain—are common during wart treatment and can indicate that the treatment is working. However, it is crucial to monitor your symptoms and consult a healthcare professional if you have any concerns or if the situation does not improve. Remember that patience and proper care are essential in effectively treating warts.

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