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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