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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.
Toddlers, children, and adolescents â In toddlers, older children, and adolescents, acquired causes of anemia are more likely, particularly iron deficiency anemia. Screening for iron deficiency anemia is recommended in all children at 9 to 12 months of age. (See Iron deficiency in infants and children <12 years: Screening, prevention, clinical manifestations, and diagnosis, section on 'Screening recommendations'.)