Tuesday, 9 October 2012

mouth ulcers

Dear Maha Khan,
These sound like aphthous ulcers whose cause is unknown. I am surprised that he does not have a little bit of pain. Usually these become less of a problem with time and there is no treatment other than pain relief. Do NOT use aspirin or Bonjela, which also contains an aspirin-like  substance. I presume that your son is otherwise well when he has these ulcers. If he is indeed unwell then he should see a doctor for diagnosis and management, as I can think of 10 or so causes for mouth ulcers. One possibility is an allergic cause. If so they would usually occur at a particular time of the year or exposure to certain substances.
However, aphthous ulcers are by far the most likely cause and they do no harm and disappear with increasing age.
David Robinson

On 10/8/2012 5:37 PM, maha khan wrote:
Hi there, my 6 years old son has mouth ulcer he has 4 time this , almost every year he has . we do not know why it happen ?  first time he had very severe mouth ulcer but now he has painless ulcer please help me why its happen with him every year , being a mother its painful for me to see my son like this please please help me please .

Tuesday, 1 November 2011

Facial rash

My granddaughter has many white lumps on her face and now on her eyelids


Is she just a few weeks to a few months old, these are so common as to be considered normal. If she is older do they itch which would make one consider allergy. If not I would not be concerned except I would check for tinea between her toes and treat it if present.
Dr D. Robinson

Thursday, 6 October 2011

child sleeping excessively

Dear Tiffany,
Children sleep more with any infection - infectious mononucleosis included. Does he have any other features to suggest he is ill?
Is he getting enough sleep at night or is it possible that he stays awake using his computer or mobile phone. This is a very common event these days.
A scary possibility is of some drug he has taken is the cause.
Can you wake him? If not take him to an Emergency Department.
I think a medical check tomorrow would be needed in any case.
David Robinson

On 10/6/2011 9:44 AM, Tiffany wrote:
> Tiffany has left a
> new comment on your post "Infectious Mononucleosis
> ":
>
>
> I have a question my son who just turned 7 years old has been falling
> asleep at school i picked him up today from school and he was sleeping
> in the Principles offer for an hour an a half took him home which was
> 330 and its now 730 and hes still sleeping could he have Mono. hmm im
> not to sure how to come back on here so can u please email me
>
> thanks so much!!!
>
>

Thursday, 2 June 2011

Labial Fusion in a 6 Year-old

My 6-year-old daughter has fusion of the labia discovered when she had a urinary infection. Her doctor has separated them with a probe which hurts and they fuse together again despite applying Vaseline as the doctor suggested.
She is now terrified of anyone looking except me (her mother) and says there is no problem. What should I do?


You could apply an oestrogen cream to the labia twice a day as this will encourage the fused area to break down without any trauma. This will happen anyway with the surge of oestrogen at puberty and if it is not causing any problems you might wait until then. If she suffers repeated urine infections then it should be dealt with now.

Monday, 30 May 2011

Toddler Chronic diarrhoea

My 21 month old was experiencing a severe 'smokers' cough for about 9 months and then developed chronic diarrhoea which was frequently very milky. Suspecting lactose intolerance I changed from cows milk to soya milk (not a good idea in infants by the way), his poo changed colour but otherwise was the same. I went straight to Jan de Vries (Auchenkyle, Troon, UK) he prescribed echinacea and a herbal bowel preparation and within 2 weeks his cough was gone and he was back to his normal poo pattern. He also recommended that I switch to Nanny's goat milk formula as cows milk is extremely high in protein and can be very difficult for some infants to digest. Don't know if this is in any way the same as very few tests were done but it might be worth getting the opinion of a qualified naturopath. DO NOT give herbal remedies without consulting a practitioner!!!!

Thank you for this account of your child's problems and their resolution. I am glad he is well again. Goat's milk is very low in folic acid but these days most commercially available goat's milk feeds have it added.I am not sure what role the echinacea played but in adults with certain conditions it should not be used - no problem for children though. Infants who are allergic to cow's milk protein are also often allergic to Soy.
I am very pleased that the diarrhoea has stopped.

Email Working Again!

David Robinson apologises that email questions addressed to Paediatric Questions and Answers have not been reaching him. Questions on any paediatric topic from babyhood to adolescence are welcome,and so are re-sent email questions.

Monday, 20 April 2009

diarrhoea in a 2 and a half year-old

 
A bit of a background on my son. I had polyhydrominos (excess fluid level of 29) diagnosed at 30 weeks pregnant. My son now two and one month developed breathing problems at 2 months.  (sounded like a 60 yr old smoker with emphysema) This breathing difficulty including stopping breathing intermittently went on undiagnosed for 7 months despite doctors visits and hospital visits two to three times per week. Finally he was diagnosed with a trachea which is half the size it should be therefore restricting breathing when he gets cold etc. He also was diagnosed with pnemo virus?? Which is the reason he was actually admitted to hospital ( this virus only lasts two weeks though) During his hospital stay they discover he also had Hydrocephalus which has since been changed to "benign enlargement of the subarachnoid spaces" and he is seeing a neurosurgoen regarding this who is doing MRI's at 3 month intervals to watch the fluid levels.
 
My question is he has diarrhea nappies approx 6 times per day every day. I have told numerous doctors this and all but the last one a paediatrition ignored this and said it must be his 'normal'  The last one said he is maybe lactose or fructose intolerant and to put him on latcose free milk to see if that helps. We have done this now for 3 weeks and there has been no change if anything his poos are worse. They are a milky white slop and frequent overflow his nappy. He is off his food two out of three meals and even then we have to 'prime' him like a lawnmower and force the first bit into his mouth to get him to even start  to eat. As a baby he was a hungry little bub and ate 2 hourly. I am at a loss to understand what to do for him. I end up cooking and offering a few different meals at each sitting hoping he will eat one with gusto. He if he had his chance would drink milk all day. I have decided to limit his milk to half a bottle to try to force him into eating solid food. I am open to all ideas and suggestions.

                       You and your son have had quite a time of it and I feel sorry for you.
As regards the diarrhoea and poor appetite, I think he should have a microurine and colony count done to look for a urinary tract infection. If that is excluded then I would try withdrawing fructose. This is done by stopping all fruit, including fruit juice for 3 weeks.
You might ask what is he going to drink and I would allow him a little milk and plenty of water. Hopefully this will improve is appetite for other solids.
How is he growing by the way? Please let me know what happens. If he has no urine infection and does not respond to the fruit withdrawal, there are other things that can be tested.
When did the diarrhoea start and did it have any relationship to dietary changes such as introducing cow's milk formula or adding solids to his diet?
David

Saturday, 11 April 2009

Toddler frequently falling when walking and running

 
I have a 3 1/2 year old grandson who falls a lot when walking and running and he also has trouble stepping up on small steps without falling.  His younger brother who is 2 can run circles around him and has no problem stepping up on steps by himself at all.  He has seen a chiropractor 3 or 4 times and it helps some, but it doesn't last.  The chiropractor said his hip was out of place.  I am concerned about this and wondered of we should take him to an orthopedic specialist and have this checked out.  When he walks, it seems that his right hip is stiff and turns in a little as he steps.  He also walks flat footed.  I would appreciate your advice.  I tried sending this through your web page, but my internet connection wouln't let it go.  Thanks for your help.


                        I think he definitely ought to see an orthopedic surgeon who will probably want an ultrasound and/or X-ray of the hips. If nothing structural is found then a physiotherapist should be involved (the orthopod can arrange a referral) to check out the muscles in his legs.(what age was he when he started to walk independently?).
Please get back to me to tell me what is found and I can give you more information about the condition and I would be very interested to hear about the findings.

Wednesday, 18 February 2009

Tummy pain in an 8 -month-old

I am the mother of an eight mont old premature baby boy. He is so pleasant anf friendly. I’m just a bit worried that he’s not crawling and refuses to go on the floor but beside the crawling I have a question to ask.

 

On Sunday day morning he woke up with a fever of 38.64 degrees. He was crying and nothing helped sooth him. He refused to have his bottle and fell asleep on my breast. He cried every time he pasted a wind down there. It was loud, continuous and very smelly. He woke up again at 3am and then at 4.50am crying and also refused to drink from my breast.

I took him to a homeopath which couldn’t rely tell me what the problem was. He gave me something for the fever which helped bring the fever down to 38 degrees. The next evening he continued crying through the night and refused to drink the bottle and breast.

Last night he woke up every half an hour, nagging and pulling his legs up to his stomach.

Today we went to another GP for a second opinion. He advised that us that our baby has a viral infection. I couldn’t wait to leave the consulting rooms as my boy didn’t stop crying. It was as if someone was murdering him. Once we got the script for the pharmacy we were on our way.

I completely forgot to ask him, what actually causes the viral infection.

 

Please would you be able to give me advise.

   To answer your last question first, we all pick up many viral infections in our life, the commonest one is a cold (coryza). We nearly always catch these from some other human. It is often not realised that if someone sneezes or coughs onto a surface which your baby touches or you carry on your hands to the baby's face, then the baby becomes infected with a virus. I suspect your doctor saw a sore throat when s/he examined your baby.
It is possible that this virus will cause gastroenteritis and he will develop vomiting and diarrhoea. Your baby obviously has tummy pain from your description and I wonder whether he has chronic constipation. Both these conditions could explain the pain and foul wind.
Please write again and tell me what the bowel actions are like. Also has he ever had blood on his bowel action.
There is one serious condition that requires surgery called intussusception and I would go back to your doctor and enquire about this possibility if the pain has not settled by the time you get this e-mail. This is a rare condition but very important.
Finally I would not be concerned about a premature not crawling by 8 months.
David

Thursday, 12 February 2009

Baby speech not developing

Hello,
> We have a couple of concerns about our daughter who is 15 weeks old.
> She seems to be
> developing normally in most areas but there are a couple of things
> that we are seeing recently that
> don't seem quite right. Just as background... I had a normal
> pregnancy and delivery. She makes
> eye contact and smiles at us. She can reach for a toy but is not
> interested in rolling over at this
> point.
>
> The first issue is that she seems to be vocalizing less than she was
> a month ago. She used to
> repeat vowel sounds that we made and would say "ah-goo" when we said
> it, as well. She still
> makes noises, but they aren't the consonant sounds that we expect
> and the "ah-goos" are
> completely gone.
>
> Secondly, she has begun sucking on her fingers like there is no
> tomorrow! In fact, she sucks on
> them so much that she will lie in her very dark room looking at
> nothing (we don't have a mobile or
> any toys in her crib) for a long time (perhaps an hour?) so long as
> she is sucking on her fingers.
> For instance, last night I woke up at 2:30am because that's usually
> a time that she wakes at night
> to nurse. I just went in to turn down the heat in her room and
> realized that she was awake and
> lying there sucking on her fingers. I'm not really concerned about
> her weight gain right now; she
> eats plenty during the day. Our concern stems from the fact that we
> thought that babies her age
> were supposed to be soaking in the world around them while our
> little girl seems content to lie in
> darkness with her fingers in her mouth.
>
> We don't know if these issues warrant a trip to the pediatrician.
> She is our first child an we don't
> want to be overreacting, but at the same time we want to be the best
> advocates for her that we
> can be.
>
> Any advice that you can offer would be greatly appreciated!
>
I share your concern about your daughter's regression in speech and the possible disinterest in the world around her,
I think you should see your pediatrician and that s/he should arrange a formal hearing test.
From the way that you asked your question, it appears you are concerned about developmental retardation and/or autism. While these are possible, hearing loss is much more likely but you should raise these concerns with your pediatrician as well.
I hope I am wrong about all these things but, if they are present it is important to find out as early as possible so treatment can be put in place as soon as possible.
Please let me know what happens and don't hesitate to ask more questions.
Yours sincerely

Wednesday, 14 January 2009

Toddler diarrhoea

                       Nice to hear from you again, I am a bit of a heretic about 'flu immunization. The best study about the long term benefit of 'flu immunization in children was done in Britain many years ago in a boy's boarding school. Half of the boys were immunized each year and the other half received no immunization for 'flu. In the first year the non-immunized boys caught the 'flu much more frequently than those who had the immunization. However, after 3 the number of episodes of 'flu were equal over the 3 year period despite 1 group having annual shots. I think we can conclude that catching the'flu gives a better immunity than the immunization.
That said I think if I had neutropaenia, I would have them immunized -  not logical but I would feel terrible if they developed an ovewhelming secondary (to 'flu) bacterial infection which they could not fight very well.
If your 18 month old seems well and is gaining weight, I doubt that he has lactose intolerance - they are usually miserable with lactose intolerance. Your local doc can do a simple test on a fresh stool sample to exclude lactose intolerance. As regards the fruit, there is another sugar intolerance called fructose intolerance. Fructose abounds in fruit. It has the same stool pattern as lactose intolerance and as you describe it.
To exclude this condition there is a fancy test but you can know by excluding all fruit (don't forget the juice!) for 3 weeks and then put him back on fruit and keep a diary of his bowel actions throughout. If he is fructose intolerant he will improve markedly in the fruit-free period only to revert when fruit is reintroduced.
If he has neither lactose or fructose intolerance another 3 weeks off all milk products and no Soy! may be needed but we can discuss that when the time comes.
All the best.
David

>
> Dear David,
>
> Mum passed on your details to me because I was asking
> her a couple of questions. One is about the flu immunizations. Here
> in the USAit seems to be standard for all children and many adults
> to
> have a flu shot every year.Our children have had the other
> immunizations but I suppose since I never felt as though I needed a
> flu shot I wonder about them.They had it last year because we were
> moving to Colorado Springsand I just thought it might be helpful.
> Our children are now 3 and 18 months. Our 3 year old has chronic
> benign neutrapenia (I spoke to you about her previously)
) but apart from one cold and one 24 hour vomiting
> bug has been well throughout the year.
>
> I was also wondering if our 18 month old is lactose
> intolerant….although I’m not so sure now. He is healthy, putting
> on
> weight, and eats almost anything. The only thing is that he
> frequently wakes up with an overflowing pooey nappy in the morning
> and sometimes this happens during the day too. He would regularly
> have 3-4 pooey nappies per day. I have experimented with soy milk
> and sometimes it seems to make a difference and sometimes it
> doesn’t. We do eat quite a lot of fruit and vegetables and whole
> grain foods. I’ve cut back on him eating pears and mandarins but
> still think it’s important for him to have some fruit. What do you
> think?
>
> Thanks for your help

Friday, 2 January 2009

Red spotty rash in well 8 month-old

My 8 month old son having red spot rashes in face and arms and few
> in
> legs alone.
> No fever and the baby is active all the day.
> What could be this rashes as this is bothering m a lot?

As he is well, I would not be too concerned. There are a multitude of
possible causes but by far the most common are insect bites. As I don't know from where you are writing, it is hard to guess which is the most likely.
I would spray the mattress with a non-toxic (ie safe for humans) insect spray. If mosquitoes are likely then spraying the corners of the room where they meet the ceiling may help.
If the problem continues you should see your local doctor.
Please tell me what happens.

Friday, 19 December 2008

reddish, non-tender lesion on foot

                               I am not sure what this redness is due to but as it does not hurt and there is no pain, I am not too concerned. If it starts to hurt or she seems unwell generally, you best have your local doctor look at it.
By far the majority of foot problems at this age are due to ill- fitting footwear. I wonder if her foot is sliding back and forth within the shoe giving the reddish appearance but that is only a guess.
David

>
> I have twin daughters and recently in the last week I've noticed one
> of the girls (23 months old) has been presenting with a reddish,
> irregular shaped, bruiselike, non-raised lesion on the bottom of the
> inside of her heel/back of arch....is it possible she is stepping on
> toys wrong lately?I've also notice she likes to stomp her feet on
> the floor, but never seems like it is painful. I can rub the area
> without any discomfort to her, but I've noticed she's been studying
> this area of her feet as well. The other twin has nothing on the
> bottom of her feet. Their feet measure the same size and are both
> wearing the same design of sketcher size 6 1/2 shoes when we go out
> for 2-3 hours a day. Otherwise the girls run around with just socks
> or no socks inside the house.
>
> I am alittle unnerved by the red bruise, but was wondering if this
> is
> normal?
>
> concerned mom,
>

Monday, 15 December 2008

28-month-old falling a lot and walking into objects

Dear sir.
I read your answer to a grandmother who had a grand son or grand daughter at the age of 34 months that was falling a lot. I have been trying to find something about this issue online and that's how I ended up on your web page.
I am a guardian of a toddler who is 29 months and he has the same problem. He falls and stumbles over the smallest things and a lot of times he will walk into things like a table or the doorway etc. We have baby gates in the house to protect him from falling in any stairs and the house is really kid safe. He walks normal, seems to have a normal hearing and he is talking well for his age.
 
He has a sister that is 4 years old and she is very athletic and she never had any problems falling or walking into things like he does. The two kids spend one week with their mom and one week with their dad and are also in preschool five days a week when they are with dad. The toddlers preschool teacher asked me if we had noticed that he is always bonking into things and falls a lot. He also comes home from his mom with bruises so we know this happens here, at his mom's and in preschool.
 
He is also showing early "warning signs" of learning disability. He is left handed, his fine motor skills are not quite there , and he can't put a 4 piece puzzle together even if the picture of the shape is on the puzzle board. We know that he cant be diagnosed until he hits second grade, but we have been made aware of early warning signs. His dad has learning disability so we don't think it is unlikely that one or both of his kids could end up with some sort of a learning disability as well. The toddlers dad and I are doing things to try to prevent this from ever happening and we are doing it in form of fun play. The toddler loves to try to thread beads on a string, he has a box with different shaped blocks that has to go in one certain hole, we have easy wooden puzzles and building blocks to boost his imagination. And he plays the games only as long as he has fun doing it. I don't know if this can be a part of him always falling or walking into things as far as his motor skills goes.
 
we would be very happy if you have any ideas of what we could or should do if anything to help the "little guy" from hurting himself so much.
 
 
If you could please send me a mail back we would be very thankful.  
   
                  On reading of your grandson's problems, the first thing I thought of was "Has his vision been checked?" This was because he is walking into things but as you noted he may have a muscle problem predominantly affecting his legs.
An optometrist or an ophthalmologist can check his vision while his muscles can be assessed by a physiotherapist who can also show you exercises to help any problem detected. If necessary your local doctor can refer your grandson to the above specialists - ones with expertise in assessing children would be best.
Please let me know how things turn out.
David

Monday, 8 December 2008

baby with Sore on chin and chest problems

                    I would have been very alarmed if I had seen the baby when he/she had the chest problem. I would have feared that the probable Staph. infection on the chin had spread to the lungs and Staph. pneumonia is a life-threatening condition. However, the fact that the baby has recovered is against such a diagnosis.
Probably the sore on the chin is unrelated to the chest problem. Probably the chest symptoms were due to a viral infection known as bronchiolitis. This sounds as though it was a mild episode and that the body defences have overcome the virus - most commonly one known as respiratory syncitial virus which nearly all of us catch for the first time between 0 and 2 years-of-age.
No action need be taken about the chest now that he/she is recovering and I presume the local doctor has given something for the sores on the chin.

Tuesday, 18 November 2008

infant mouth ulcers

  I am so sorry your daughter has this painful mouth ulceration. If your doctor thinks it is cold sores. Then she has caught it from someone else - possibly an adult or older child with a cold sore on their lips. All of us caches this infection in the first few years of our lives. The first attack usually shows as mouth ulceration - mainly inside the mouth but often on the outside too where it looks like a cold sore on an older person. Once we have had this infection 60% of us have no further problem but the other 40% are unfortunate and have cold sores on the lips whenever stressed either physically or emotionally. The commonest stress that does this is the common cold hence the name cold sores.
It is very important to keep pushing the fluids although they are painful. A small proportion of children who have this initial infection become dehydrated and need hospitalisation.
The fact that the ulcers are near her uvula suggests that they may be due to a less common viral mouth infection, called Coxsackie. The result is much the same with reduced food and fluid intake because of a sore mouth. After this form of mouth ulceration heals we don't suffer the repeated sores as do 40% of the cold sore sufferers.
You are in for a few miserable days whichever virus is responsible. Keep up the fluids.

>
> Hello,
> I just brought my 8 month old daughter to her pedia for her 2nd half
> of her flu shot while the doctor wasdoing some exams we found out
> that the inside of her mouth has cold sores,right next to her
> uvula.I was so afraid and did not realize that causes her so much
> pain when she's eating or drinking her milk from her bottle. I was
> so
> anxious that's why i wanted to ask you if this kind of viral
> infection cangive herproblem in the future or will it happen
> again?What causes this break out?
> And why would appear it by her uvula which is very unusual?Her
> doctor
> gave her a prescription to ease down the pain which is good for 7
> days.I just cant help seeing her like this.
> Please i need your response,my email is mrlflorencio@gmail.com
> again,Thank you very much for reading my letter.

Thursday, 13 November 2008

cows milk intolerance

Dear Peter.
                    It sounds as though your granddaughter is having a very rough time.
The fact that she responded to the Dairy-free diet but did not have lactose-intolerance, suggests that she has cow's milk protein intolerance.
Despite your strictness with the diet, the recurrence might be due to inadvertent exposure to cow's milk. It is amazing the solids that have milk protein in them. You need to check whether any product states that it has cow's milk solids or casein in it and avoid these. The only margarine that is safe is Nuttelex.
If all this has been done, and the problem, continues, she may have developed an allergy to some other food. Just about anything can provoke an allergy, but the most likely at her ages would be eggs.
Please let me know what happens and we can pursue some other approaches.
David

>
> I hope you can help us,our 1 year old granddaughter had diahorrea
> and
> vomiting which resulted in a stay in hospital the stool was like
> clear mucus with what appeared to be seeds in it.She had a barrage
> of
> tests these showed nothing conclusive.A dietician was consulted and
> she was put on a dairy free diet.The Vomiting and diahorrea had
> stopped and her appetite seemed to have recovered however she has
> gained no weight.
>  The original problem started at the begining of september but 4
> days ago the diahorrea started again and seems to be getting worse
> our daughter has been very careful to ensure she has had no dairy
> products in either her or the baby's diet and as you can imagine is
> at her wits end.Can you give us any advice?
>  Yours sincerely Peter Morgan.
> P.S.The tests eliminated Lactose intolerance and Celiac disease.

Saturday, 8 November 2008

constipated 2-year-old

> Hello,
> I have a 2 year old daughter who suffers very badly from
> constipation
> and has done since she was eight months old.I am at my wits end we
> have been to gp and tried several medication with no luck. She is
> currently on lactulose and senna. It seems to work then just doesn't
> work for while. I was advised to increase dose from 2 5ml of
> lactulose twice day to up to ten a day. This just seems such a lot
> to
> give her but did it sometimes works and other times doesnt. She has
> also had suppository aswell which didn't work well. When she tries to
> go she is in so much pain screaming which can last hours and has
> even
> hurt her back trying to do it. She can go several days trying with
> no
> luck. I dont know what to do have tried obvious diet changes etc
> with
> no luck. What would you suggest? Could she have any other medical
> problems that cause this? Could being on these medications cause
> problems later in life?
>
> please get back to me my email is danagray19@hotmail.com i would
> really appreciate it.
>
> Many thanks
>
>


                   I am sorry your daughter is having so much pain on using her bowels. From your description, she has a fissure-in-ano.
This is a small crack in the anus where the bowel meets the skin. When she uses her bowels the crack is torn open and causes pain. This tends to stop her using her bowels making her more constipated.
She needs a local anaesthetic ointment applied to her anus as a thin smear at night after her bath and again in the morning on waking. You can buy the ointment over the counter at the pharmacy. You can also apply the ointment during the time she is using her bowels if it is hurting.
Lactulose and senna are fine. I recommend giving the senna at night. If she fails to use her bowels in the next 24 hours then double the dose. If this does not produce a result in the next 24 hours give her half glycerin suppository and continue with the higher dose of senna. Failure to use her bowels means redoubling the dose of senna and if this does not work another half suppository. After a week of success of using her bowels the dose of senna can be halved. So 1 day of failure means doubling the dose, a week of success means halving. She may get up to quite a high dose of senna but it will do no harm. Throughout all this you continue with the twice daily local anaesthetic ointment.
These instructions are quite complex, so don't have any hesitation in asking me a question. I will be happy to hear from you.
David

Thursday, 18 September 2008

Frequent falls

> Dear David:
>
>
> It has been over a month now and my granddaughter is falling way
> less due to the fact that she is
> wearing those good shoes. I believe her ankles were not strong
> enough, etc. What is your
> professional opinion of this small turn of events?
>
> Thanking you in advance.
>

>
>I am delighted that she is falling less. Good shoes certainly do help weak ankles.
Did you ever get her assessed by a physiotherapist or a home visitor as I suggested?
David
>

Saturday, 13 September 2008

Childhood Warts

Warts


Our son has a number of warts on his hands and knees. They look very ugly and he wants to get rid of them. I have heard of many different cures from friends but my doctor says there is no cure. Is there anything that can be done?

Common warts as you have described are a viral infection of the skin. Your doctor is correct to say there is no cure. They can be cut out or burnt off but will come back. This approach is reserved for those warts in an inconvenient place, for instance a wart on a finger that is interfering with writing.
As with other viral infections such as a cold, one has to wait until the body’s defence system destroys the virus. In the cas of the cold this takes a few days but with warts it takes months or years. So after having the warts for a long time, our body kills the virus and the warts disappear overnight.
The sudden disappearance of a long-standing condition, id the reason there are so many miracle cures such as burying a dead cat by moonlight – taking glucose rather than sucrose was the one I chose as a child and after many months it worked, the warts suddenly disappeared. Unfortunately my mother was still putting sucrose in her cooking. Recent medical studies have suggested that hastens the departure of warts is to cover them with duct tape. If this is true, you need to go to the hardware store – not your doctor.