School anxiety can cause real physical symptoms, including morning nausea, stomachaches, and crying before school. Children may experience tummy pain from stress, separation anxiety, or school refusal. Helpful strategies include maintaining predictable morning routines, encouraging open conversations, practicing calming techniques, and working closely with teachers. If stomach pain is frequent, severe, persistent, or affects eating, sleep, or daily activities, consult a pediatrician to rule out other causes and discuss support. For Central Texas families, Seva Pediatrics can provide guidance on anxiety-related stomach complaints and healthy school transitions.

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