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I feel for you fellow traveler. I have a good friend that had to be on drip IV antibiotics for some time and struggles with GI problems. He says his best results came from kombucha and/or other fermented foods with probiotics and daily metamucil.

There is also promising things happening with fecal transplants (FMT) I am told.

Probiotics + regular consumption of milk, yogurt.. anything with active cultures will help.

Every time I take antibiotics I run 60% chance of a fungal infection somewhere, so I have my own regimen to keep that annoyance away.

They generally tried it (80's) before moving on to the other stuff. I tried it, but I got very sunlight sensitive (blisters) and they moved on.

Why would your doctor do that?

Eminence based medicine vs. Evidence based medicine.

Doxycyclin is a first-line treatment for acne, it's a chronic bacterial infection, after all. But there's simply no good reason to continue first-line treatment that isn't working, hippocratic oafs are everywhere, one would guess.