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Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.
I think you have irritation, rather than fungus or yeast. Your incontinence probably is contributing to this. Keeping the area as dry as you can is of course important. Cream containing low concentrations of cortisone will help a lot too. Your doctor should consider hydrocortisone 2.5% or desonide 0.05%. The creams you've used so far contain either stronger steroids or antifungal components.
Don't worry about the follicles--they're most likely just part of the irritation.
You may have to "live with" this to a certain extent, but you should be able to soften the symptoms a lot just with moisture prevention and occasional treatment.