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Anemia is a condition in which there aren't enough healthy red blood cells to carry adequate oxygen to the body's tissues. Tiredness can be a symptom of anemia. But unless it is quite severe, anemia is rarely the cause of persistent fatigue in children. In your child's situation, I suggest first confirming that he or she is, indeed, getting at least 10 hours of restful sleep each night.
Even when you've kissed the morning nap goodbye, your toddler's likely to continue needing her afternoon nap for quite some time. At age 4, more than 50 percent of children are still taking naps. And even though the majority of children (about 70 percent) stop napping at 5 years, 3 in 10 still need a nap at this age. That said, every child is different. Much depends on how many hours your toddler sleeps at night. Toddlers need approximately 12 to 14 hours of sleep in each 24-hour period.