possible candida

Hi,
I've had a red rash on my scrotum and inner thigh that has been varying in intensity for the past 6 weeks. Currently it is at it's worst: a large, deep red patch on my thigh with bumps and flaking skin; and smaller bumps located on my other thigh and scrotum. My dermatologist in Japan doesn't speak English well and insists that it is a rash caused by friction since when I first came in I had a newer rash that I had acquired that day while doing some exercises (that was caused by friction and went away a day or two later). My problem is that the ointments my doctor is prescribing (in Japanese so I'm not sure exactly what they are) have no effect and the condition is not improving.
I was wondering if anyone had experience with over the counter drugs for the treatment of Candida and if they were aware of any possible side effects of using them if Candida wasn't the issue. I know self diagnosis using Google images is never a good idea, but I'm at my wits end.

Thank you

[Bhupinder Kaur, MD]

Hello,
From the symptoms it looks like intertrigo. An intertrigo is an inflammation (rash) of the body folds. It most commonly occurs due to bacterial, viral or fungal infection. An intertrigo usually appears red and raw-looking, and may also itch, ooze, and be sore.

Please keep the area clean and apply some topical antiseptics. Also wear loose-fitting cotton clothing and use an antibacterial soap or mild soap like dove. Avoid any kind of cosmetics. Topical zinc oxide cream like Sudocrem, Desitin are very helpful(apply with a paper towel and not directly with hands).Application of mild steroid cream like dermacort also helps. For the itching please take some over the counter antihistaminic like benadryl or Claritin. In case the symptoms persist then antifungals may be needed. Please consult a dermatologist in that case.
I hope it helps. Take care and please do keep me posted in case you have any additional doubts. Kind regards.