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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.
1 This is a common cause of SNE in the pre-school child. Children with an overactive bladder pee more than usual, often have to run to the bathroom, and are often wet during the day.  Medical conditions. Bladder infections, constipation, and diabetes can also trigger secondary nocturnal enuresis.