My anal warts.

[nikiag]

Doctor:

I am a healthy 23 year old straight man, sexually active, polygamous and have had unprotected sex until these anal warts were discovered. Nowadays I’m inactive. I have also done the other STD tests (HIV/Syphilis/Hepatitis) and I give a negative as a result for which I’m happy.

Thinking that I had hemorrhoids, I went to the proctologist hoping to confirm my hypothesis and I discovered not only that they weren’t hemorrhoids, but that I also had a fecal incontinence –stained the underwear. He directed me to a dermatologist to check on the problem in the anal area. He also said that whatever it was, it was also inside my anus.

They were anal warts. The dermatologist told me to apply Wartec cream once every day until it was gone; possibly after some weeks or even months. I’m still applying the cream after two weeks of treatment and some breaks because of the irritation it provides.

My father, back home, went to his doctor, an immunologist, and commented the problem. He right away suggested & prescribed me taking some pills which I would start taking in some days when they arrive. The pills: Isoprinosine, every 4hrs for 7days. Plus Cell Protector and also vitamin C supplements even after the 7days. He’s very sure they will work.

1. ¿Would you suggest the pill treatment alone, together with the Wartec treatment or not at all?

2. The fecal incontinence problem stated above started being very evident at the same time as the warts started being very irritating. Is it possible that they link as one -warts- being the cause of the other -incontinency-? Or they link at all? Proctologist said it was very rare for me to have that problem being 23 only.

3. Once the warts are gone completely around the outside of my anal area, am I likely to transmit the virus to somebody I have safe sex with –even if she doesn’t physically touch the warts? Or should I wait 6 months/1 year to be almost sure of not transmitting?

Thanks for your time.

[Edward W Hook, MD]

Thanks for the clarification.  That reinforces my recommendation.  BTW, irritation is part of the anticipated side effects of podophyllin treatments- it indicates it is having the desired effect,.  EWH

[Edward W Hook, MD]

1.  Wartec is a brand name and I am not sure what it is.  I suspect it is one of the recommended agents for wart treatment.  On the other hand, the pills you are taking have not been studied in randomized clinical trials and while they may be of some benefit, it does not take the place of recommended therapy.  continue to take the Wartec, taking the other meds is OK.
2. Anorectal warts do not cause fecal incontinence.  This problem is unrelated to your warts.
3.  The warts you have are transmissible by direct contact.  You risk of transmitting them to others is minimal as long as your partners keep out of your anus.   As far as when you will not longer be able to transmit infection, that's difficult to stay.  Most specialists estimate that if they have not recurred 3-6 months after they are gone, there in low, if any risk of transmission to others.

Hope this helps.  EWH

[nikiag]

Thanks for your answer Dr.
Wartec is a podofilox treatment, like Condylox.

-nikiag