My male approx. 8 yr old cat’s blood and urinalysis came back with some abnormal…

My male approx. 8 yr old cat's blood and urinalysis came back with some abnormal results. He has a little blood (+1 according to vet's scale) and protein (+2) in his urine. However, we ruled out kidney failure/issues. He has passed a stone in the past and had noticeable blood then, but the vet is saying he doesn't know if that's the cause now and wants to treat it as idiopathic cystitis, thus no known cause = no set treatment. For various reasons, I have had suspicions that my vet is not acting honestly in all regards (from severe misdiagnosis, offering unnecessary treatments as only options, and charging me for services that I wasn't asked/ told about) but will be moving in a month so will see a new vet anyway. For now though, I want to address any possible issue before the move seeing as stress may worsen it. So this vet is saying since they don't know what the cause of the test results is but want to give me various antibiotics and meds to treat all possible causes. But he himself said that the medicine he'd put me on (Orbax, 10 day supply) has less expensive alternative options but "they don't have flavoring so it's harder to get cats to take them" and I'd have to potentially give it 2x a day instead of 1x. But I don't care how often and I honestly don't care how much it costs, but I really care that my vet is acting in the best interest of my cat NOT prescribing just because he can. What's more, Feline idiopathic cystitis seems to be diagnosed by things he didn't do as he didn't culture the urine (and said he doesn't want to because it's only 50% accurate), didn't x-ray, and didn't ultrasound (source: https://icatcare.org/advice/cat-health/feline-idiopathic-cystitis-fic). Based on the urinalysis results and clean blood work, has anyone had any similar experiences that could be a cause? I'd rather not put my cat on antibiotics he doesn't need and potentially mess him up more... especially if proper steps of diagnosis haven't occurred. Any advice would be very, very appreciated!
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carrie Urquhart
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If he’s passed a stone before it’s likely he may have another. Male cats have a really hard time passing stones or crystals since their opening it very small. Was the cat showing signs of a uti, or was this routine labs? Do you know if they looked at the urine to check for crystals? Sometimes it could be an infection and a round of antibiotics clear it up, but id be weary of that diagnosis if they didn’t look at it under a microscope.