Normocytic hypochromic anemia
is not a tenable combination, Dr. Balaji. Chronic disease can cause normochromic, normocytic anemia
. What is the exact MCV? I am sure this is nutritional anemia
, most probably due to iron deficiency
. You may consider iron therapy AFTER her acute cold etc has improved.
Viral coryza and pharyngitis
are common illnesses among toddlers, and can cause more irritability than one can imagine. Psychiatric problems can cause aggression, anger, etc. but not irritability, which I assume means that she is not playful, cries easily when her demands are not immediately satisfied, and inconsolable at times. In such cases, the thing to do would be to continue loving and nurturing her as before, and wait for the acute symptoms to wear down.