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26 years
Is it normal that the warts hurting the next day I apply the cream? How can I sense that its functioning?
Aug 16, 2014

Dr. Zakia Dimassi Pediatrics
Warts are usually painless, but can become painful with sexual intercourse (anal) or probably if you suffer from constipation and pass hard stools, which could injure the warts thus causing pain. Don't worry too much about the cream exerting its effect: soon enough the warts will decrease in size and number. Just give it time.
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Dr. Rania Mousa General Medicine
>Human papillomavirus (HPV) causes anal warts(the same virus that risks anal cancer), which begin as soft, fleshy growths around the anus. These warts can extend to affect the lower part of the rectum. You may have anal itching, varying degrees of pain, and, with time, bleeding and discharge.

It is spread by direct contact with the anus, mouth, penis, or vagina of an infected person. Intercourse is not necessary to spread the infection. It can be transmitted by skin-to-skin contact,they can spread easily .

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 folowing 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 )

The number of times and the length of time you apply this medication depend on the specific skin problem that is being treated.When treating warts, apply 3 times a week for up to 16 weeks.

Well ,if that causing irritation you must check with your doctor if that is mild then it is ok

HOW TO USE IT CORRECTLY :

Apply as directed by your doctor just before going to bed. Wash your hands with soap and water after each application. Do not cover the treated area with bandages or other waterproof coverings. Covering the area with cotton gauze, or cotton underwear if treating the genital area, is permitted. Leave the cream on overnight, usually for 6-10 hours for warts or as directed. In the morning, wash the treated area with soap and water to remove the cream. Do not bathe or wet the treated area before the prescribed application time has passed. Do not leave imiquimod cream on longer than prescribed by your doctor. Throw away any partly used packets of medication.Tell your doctor if your condition persists or worsens or if new growths appear during treatment.

this is the concept of using ALDARA and knowing its effectiveness .

>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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