Pica is an irregular want for and ingestion of either palatable or unpalatable substances. The condition has been distributed in medicinal diaries for quite a long time. The present case report is about a 5 years old female child reported to Department of General Pediatric with a chief complaint of high fever and constipation. The fever was progressive course for 2 days and constipation for 5 days. Furthermore, there was a history of abnormal behavior of ingestion of inedible substances like stones and sand. We seek through our report to shed the lights on the importance of reminding the physicians of diagnostic utility of pica side effects related with iron deficiency. As here in our case, if we ignored these diagnoses that caused pica, the child may suffer from serious complications such as very low hemoglobin, GIT abstraction, severe anemia and serious infection. Consequently, we concluded, that detailed medical and individual history of kids, helps in a superior determination and a proper treatment design.