Tired 10 year old, not himself

Patient : 10 year old male had labs ran, ALK Phos came back at 167 High, MCV 81.2 Low, MCH 26 L, and MCHC 32 Low. He has had a cough for 5 months, he has stomach aches for 4 months, fatigue, crying bouts, always cold, headaches, and by the end of the day he has pink to purple circles under his eyes.
Symptoms:  Fatigue, coughing , stomach aches, always cold, headaches, pink to purple around eyes by the end of the day, crying bouts
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