Hello. Thanks for writing to us at healthcaremagic
I would keep a possibility of
Intertrigo. Intertrigo is defined as inflammation of the body folds.
Intertrigo clinically presents as red, moist, scaly, sore patches of skin on closely opposed body folds like axilla, groins, submammary folds etc.
Closely opposing body folds trap sweat and moisture and therefore make the area prone to inflammation from rubbing against each other.
Candidal infection may superimpose (Candidal Intertrigo) thereby exacerbating the inflammation (
redness and soreness).
You may try an OTC
topical antifungal e.g
clotrimazole 1% cream, twice daily in the affected folds for 4- 6 weeks.
If I was the treating doctor I would have also started you on oral antifungals e.g Oral
Fluconazole, in addition to the topical antifungal cream.
Oral antifungals are faster acting and better in controlling the condition. Oral antifungals are prescription drugs.
It is important to keep the folds dry.
Once the condition has improved significantly on topical and oral antifungals, you may use an antifungal dusting powder in the folds, twice daily, for maintenance of improvement and preventing a recurrence.
An antifungal dusting powder not only keep the folds dry but also inhibits the growth of fungus/yeast thus preventing recurrence/exacerbation of Intertrigo.
Also get your blood sugar levels checked because recurrent candidal infections are common in those who have impaired
glucose tolerance/
diabetes.
Regards