Conversation: The conversation between human and AI assistant.
[|Human|] Hello,I have two small, grey, painless bumps near the opening of my anus. I went to the doctor and she was nondescript about what it exactly was. She vaguely mentioned genital warts and prescribed me a cream. After looking into this more online, I am not completely convinced that is in fact what is, especially since she didn t have test results back. What are other possibilities, and should I get another opinion? Thank you!
[|AI|]  Hello, Welcome to Chat Doctor, Your history and the clinical symptoms are suggestive of Congenital Wart or Condyloid Alumina. This is a type of sexual transmitted disease. Wart which is painless and itching are the classical of Congenital Wart or Condyloid Alumina, which is caused by Human Papillomavirus (HPV). Human Papillomavirus (HPV) infection can be transmitted to the partner as this is a sexually transmitted disease. This should be diagnosed by physical examination and PAP smear of the scrapping of the wart and confirmed by Polymerase Chain Reaction (PCR). The treatment for this condition includesCryotherapy- which should be done in the hospital.  local application of 0.5% solution of podophyllin, which should be applied twice daily for 3 days and nothing should be applied for next 4 days (7 days cycle). This cycle should be continued for 4 weeks.  local application of 5% Imiquimod cream for 3 times in a week for 16 weeks (4 months). Thank you