I'm sorry. That really sounds rough. I'd definitely encourage the anemia test (do they do one standard at 18 months anyway?)

Have you tried ignoring Alex while she eats? I mean, give her food and then remove audience... like turn your back and eat your dinner while she eats hers. I find that Grey eats the most when he's not interacting with me. (Apologies if that's totally not helfpul.)

I'm sorry you had such a tough night.