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26 years
I have warts around my anus , I consult a doctor after it gotten big and I had many of them, he told me to use Aldara 3 times a week, how much its going to take to them to disappear? Will it be back
Aug 17, 2014

Dr. Zakia Dimassi Pediatrics
Aldara is imiquimod cream used to treat genital and anal warts. It acts my increasing the local immune system activity against the human papilloma virus hpv which causes these warts. Imiquimod does NOT cure warts and there might be recurrence,iin which case coatery (كوي) may be needed with silver nitrogen. Like with any skin disorder, improvement does not become noticeable before a couple of weeks.
When applying Imiquimod cream,you should leave it on for 6 to 10 hours. Yousshould keep on using it until all of the warts are healed, up to a maximum of 16 weeks.
While the cream is on the skin, you should avoid sexual (oral, anal, genital). Imiquimod cream may weaken condoms and vaginal diaphragms
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Dr. Rania Mousa General Medicine
You must look for the cause that affects your warts ,is it the medication itself need to be changed or the causes itself ,like contacting one with warts or not following up your treatment plan ,
your treatment may need time and patience and depending on the cause of treatment you may need a change to other medicine or change in lifestyle or surgery .

>For warts that are very small and limited to the outer area of the anus, treatment with a topical medication may be adequate. However, a prescription medication intended for anal warts must be used. Over-the-counter wart removers are not intended for use in the anal or genital area.

>Some medications to treat anal warts are applied by a physician in the office. Others can be applied by the patient at home. Regimens typically last for several weeks or more. Topical creams include the one you are taking imiquimod (Aldara )

>For larger warts that don’t respond to topical treatments or anal warts located inside the anal canal, surgical options may be more effective. Surgical treatment of anal warts is typically performed on an outpatient basis. A special tool is used to cut off the warts. A local anesthetic is normally used. If the number and location of anal warts is extensive, general or spinal anesthesia may be necessary.

>Depending on the severity and location of anal warts, other treatment options include:

-Cryotherapy: liquid nitrogen is used to freeze the warts. After freezing, a blister forms around the wart. The blister and the wart fall off as the skin heals.

-Electrocautery: an electric current is used to burn off warts.
-Laser treatments: energy from an intense light. This technique is often limited to use for difficult cases.

>After surgical treatment of anal warts, most patients are uncomfortable for a few days. Pain medication may be prescribed. Ability to work or perform normal activities varies depending on the extent of treatment used.
If warts are extensive, treatment may be administered in stages. Recurrent warts are common. The virus can remain dormant in concealed tissues, only to appear months later with the growth of a new wart. Follow-up visits and treatments may be necessary for several months to ensure that no new warts exist.

You should encourage partners to be tested for HPV and pay attention even if they don’t have symptoms. This can help prevent the risk of reinfection.

The possibility of infection can be reduced by abstaining from sexual contact, using condoms, or limiting sexual contact to one partner. After treatment for anal warts, reevaluation for recurrent warts may be recommended at regular intervals.
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Dr. Salim Saab Otolaryngology (ENT)
sanal warts improves with topical cream aldarabut it wjllbe back bigger warts needs cautery or surgical excisio
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