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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.
What is tibial torsion? The most common cause of in-toeing in toddlers is internal tibial torsion (the large bone in the calf is rotated inward). Some children are pigeon-toed for different reasons, such as a curved foot (metatarsus adductus) or a rotated hip (internal femoral torsion).