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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.
As anemia progresses, your toddler may become even more tired and irritable and have pale skin and lips. Other symptoms include loss of appetite, rapid heartbeat, cold feet and hands, and a lightheaded or dizzy feeling. Slow growth and development are also signs of anemia in toddlers.