I'm a 37-year-old guy weighing around 60 kg and I've been on enalapril 5 and met xl 12.5 tablets for my hypertension for the last six months. Recently, during a pre-employment medical checkup, I noticed that the RBC count and size in my blood report were highlighted as concerning by the doctor, but they didn't suggest any treatment. My family doctor is back in Kolkata while I'm currently in Oman. What should I do about this? Should I keep taking my meds as usual, or do I need to consider any other treatment or actions?

Answered by 1 Apollo Doctors

Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

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It's important to address the abnormal RBC count and size in your blood report. Since your family physician is not readily available, I recommend consulting with a local physician in Oman to further investigate the cause of the abnormal RBC findings. It's important to determine the underlying reason for this abnormality before making any changes to your current medication regimen. However, in the meantime, you can continue taking enalapril 5 and met xl 12.5 as prescribed for your hypertension. These medications help in managing high blood pressure effectively. Make sure to follow the dosage instructions provided by your healthcare provider.

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Answered 04/07/2025

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Understanding RBC Count and Size Abnormalities
- Abnormal RBC count and size can indicate various conditions, including nutritional deficiencies or bone marrow issues.
Possible Impact of Hypertension Medications on RBCs
- Enalapril and metoprolol typically do not affect RBC count or size significantly. However, individual responses can vary.
Importance of Further Evaluation
- Consult a healthcare provider to interpret your blood test results. Additional tests may be necessary to identify the cause of abnormalities.
Recommendations for Medication and Follow-up
- Continue your current medications unless advised otherwise by your doctor. Seek medical advice if you experience new symptoms.
Lifestyle and Monitoring
- Monitor your symptoms and maintain a healthy lifestyle. Regular follow-ups and blood tests are crucial for tracking changes.
Relevant Medical Specialties
- A primary care physician or hematologist can help manage abnormal blood counts.
Summary and Patient Reassurance
- Abnormal RBC findings require professional evaluation but are often manageable. Stay in touch with your healthcare provider for safe management.

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