Hello. Thanks for writing to us at healthcaremagic
Judging from the history and the treatments tried, which seems to benefit the condition only temporarily; I would keep a possibility of "Intertrigo", which is inflammation of the body folds (red and sore folds).
Closely opposing body folds can trap moisture and therefore make the area prone to Inflammation from rubbing against each other.
Candidal infection may superimpose (Candidal Intertrigo) thus exacerbating the inflammation (
redness and soreness) and itching.
Clinically intertrigo Or candidal intertrigo presents as red, moist, scaly patches of skin on closely opposed body folds.
If I was the treating doctor I would have started you on oral antifungals e.g Oral
Fluconazole, in addition to the topical (antifungals+
steroids) creams that you have been using already.
Oral antifungals are faster acting and much better in controlling candidal
superinfection. Oral antifungals are prescription drugs.
Once the condition improves significantly (usually within 2-4 weeks), what I do in my patients of Intertrigo is, I then ask them to use an antifungal dusting powder e.g
clotrimazole dusting powder in the folds, twice daily, for maintenance of improvement.
An antifungal dusting powder not only keep the area dry but also inhibits the growth of fungus/yeast thus preventing recurrence/exacerbation of Intertrigo.
It would be better if you present yourself for examination to a
dermatologist. Your dermatologist would tell you more about this condition and prescribe accordingly.
Hope this helps
Take care