Managing Post-Electrosurgery Symptoms: Skin Care and Supplements - Dermatology

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After using a cautery on cauliflower, apply phenol?


Hello Doctor, I discovered a growth around my anus in mid-July, and after examination, it was identified as genital warts.
Following the doctor's advice, I underwent electrosurgery.
After the wound nearly healed, I started using Phenol and Resorcinol at the beginning of August.
Until today, I thought there were signs of improvement, but now I am experiencing itching, and there are small white bumps that are painful when pressed.
They appear to be more densely clustered, and these white, raised spots resemble pimples.
I am unsure if I should stop using Phenol and Resorcinol now, or if these new bumps are also genital warts, and if the itching is a normal side effect.
Should I continue applying it three times a day? Additionally, to boost my immune system, I recently started taking a multivitamin with zinc (B vitamins along with vitamins C and E) every morning, but after about a week, I began experiencing mouth sores.
I am wondering if this is related to taking the B vitamins or if something else is going on.
Thank you for your help!

Xiao Xiaodi, 20~29 year old female. Ask Date: 2015/08/18

Dr. Wu Yuxin reply Dermatology


The two questions you raised cannot be confirmed without actually observing the lesions.
It is recommended that you consult a physician to gain clarity.
Specifically, the issue regarding warts should be discussed with your primary care physician.

Reply Date: 2015/08/18

More Info


After undergoing electrosurgery for a condition like warts (also known as condyloma), it is not uncommon to experience various post-operative symptoms, including itching, discomfort, and the appearance of new lesions. These symptoms can be concerning, especially when they manifest as white, raised spots that resemble acne and are painful to the touch.
Firstly, the itching and the emergence of white bumps could be indicative of several things. One possibility is that the skin is still healing from the electrosurgery, which can take time. Even if the surface appears healed, deeper tissues may still be recovering, leading to sensations of discomfort or itchiness. Additionally, the white bumps you are experiencing could be a result of irritation or inflammation in the area, possibly exacerbated by the topical medication you are using, in this case, the phenol-based treatment (酚瑞淨).
It is essential to monitor the situation closely. If the white bumps are indeed new growths of warts, this could suggest that the initial treatment was not entirely effective, or that new lesions have developed. On the other hand, if these bumps are a reaction to the medication or a result of irritation, they may resolve with time and appropriate care.
Regarding the use of the phenol-based medication, it is crucial to consult your healthcare provider before making any changes. If you are experiencing increased irritation or discomfort, it may be advisable to pause the treatment temporarily and seek medical advice. Your doctor may recommend an alternative treatment or a different regimen based on your current symptoms.

In terms of your immune support regimen, taking supplements like B vitamins, Vitamin C, and Vitamin E can be beneficial for overall health and immune function. However, some individuals may experience side effects from certain B vitamins, including mouth sores or ulcers, particularly if taken in high doses. If you suspect that the B complex is causing these symptoms, it would be wise to discuss this with your healthcare provider. They may suggest adjusting the dosage or switching to a different formulation that might be better tolerated.

In summary, here are some steps you can take to manage your post-electrosurgery symptoms:
1. Consult Your Doctor: Before making any changes to your medication or supplement regimen, speak with your healthcare provider. They can provide personalized advice based on your specific situation.

2. Monitor Symptoms: Keep track of any changes in your symptoms, including the appearance of new bumps, itching, or pain. This information will be valuable for your doctor.

3. Skin Care: Maintain a gentle skincare routine. Avoid harsh products that may irritate the area. If you are using topical treatments, ensure they are appropriate for your skin type and condition.

4. Diet and Hydration: Ensure you are eating a balanced diet rich in vitamins and minerals to support your immune system. Staying hydrated is also crucial for skin health.

5. Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential to monitor your recovery and address any concerns promptly.

In conclusion, while post-electrosurgery symptoms can be distressing, they are often manageable with the right care and guidance. Always prioritize communication with your healthcare provider to ensure the best outcomes for your recovery.

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