Liquid Nitrogen Treatment for Warts: What to Expect - Dermatology

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Warts treated with liquid nitrogen?


I visited a dermatologist today and was diagnosed with viral warts.
The doctor treated five areas with liquid nitrogen.
Some areas developed blisters while others did not.
The doctor mentioned that the treated areas would form blisters, so is it normal for the untreated areas not to have blisters?

Hsu Jun-Hsiang, 10~19 year old female. Ask Date: 2015/08/10

Dr. Li Yufen reply Dermatology


Hello: After liquid nitrogen treatment, it is possible to develop blisters, but it may not occur.
Continuous follow-up appointments are necessary until the viral warts are completely resolved.
Thank you!

Reply Date: 2015/08/10

More Info


Liquid nitrogen treatment, also known as cryotherapy, is a common and effective method for treating warts, which are benign growths caused by the human papillomavirus (HPV). During the procedure, liquid nitrogen is applied to the wart, freezing the tissue and causing the wart to eventually fall off. Here’s what you can expect from the treatment and the healing process.


What to Expect After Liquid Nitrogen Treatment
1. Immediate Reaction: After the application of liquid nitrogen, you may experience a stinging or burning sensation at the treatment site. This is normal and usually subsides quickly.

2. Formation of Blisters: It is common for blisters to form after cryotherapy. These blisters are a result of the freezing process and indicate that the treatment was effective. The blisters may be filled with clear fluid and can vary in size. They typically develop within a few hours to a day after treatment.

3. Healing Process: The treated area may initially appear red and swollen. Over the next few days, the blister will either dry up and form a scab or the wart will begin to peel away. It’s important to keep the area clean and avoid picking at any scabs or blisters to prevent infection.

4. No Blisters: If some areas where liquid nitrogen was applied do not develop blisters, this can be considered normal as well. The absence of blisters does not necessarily mean that the treatment was ineffective. Individual responses to cryotherapy can vary based on factors such as skin type, the size of the wart, and the depth of the treatment.
5. Follow-Up Care: After treatment, it’s essential to follow your doctor’s aftercare instructions. This may include keeping the area clean and dry, applying topical ointments if recommended, and monitoring for signs of infection, such as increased redness, swelling, or pus.

6. Multiple Treatments: Sometimes, multiple sessions of cryotherapy may be necessary to completely remove the wart, especially if it is large or has deep roots. Your dermatologist will advise you on the appropriate schedule for follow-up treatments.


When to Contact Your Doctor
While most reactions to liquid nitrogen treatment are normal, you should contact your healthcare provider if you experience:
- Severe pain that does not improve with over-the-counter pain relief.

- Signs of infection, such as increased redness, swelling, warmth, or pus.

- Fever or chills, which may indicate a systemic infection.

- Any unusual or concerning symptoms that you feel may be related to the treatment.


Conclusion
In summary, liquid nitrogen treatment for warts is generally safe and effective, with a typical healing process that includes the formation of blisters in many cases. The presence or absence of blisters does not necessarily indicate the success of the treatment. Always follow your dermatologist's advice and reach out to them if you have any concerns during your recovery. With proper care, most warts will resolve successfully, allowing you to enjoy clear skin once again.

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