Yes, fleas can cause anemia. Scratching is a sign of fleas. Also dots under the chin, lip, and the tail can be Feline Acne. Do you use plastic bowls for feeding and water? Plastic will cause the black spots (Feline Acne) if they don't rub off right away. Use ceramic or glass dishes if possible. >From what I read, fleas usually only cause anemia in young kittens and elderly cats. That is not true. This will suppress the immune system when there are other illnesses such as Felv. I've seen cats and dogs at all ages have anemia due to fleas especially in shelter situations. Terrie Mohr-Forker
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