Acidity, anxiety & answer sheets: Doctors decode the exam season stomach burn

With examination taking a toll on children, there is a high likelihood of childhood anxiety or stress during this period, especially if it has a significant bearing on the future. Stress is one of the manifestations that can lead to stomach symptoms. Our intestines have a lot of nerves which control the digestive process and intestinal movement.

Apart from the brain and the spinal cord, the digestive system has the third-highest number of neurological cells and connections. Thus, anything related to stress can manifest in intestinal symptoms. “The intestine may slow down or speed up, leading to symptoms like stomach cramps, more bowel movements (diarrhea or constipation), or excess acid production. Acid reflux can cause heartburn, manifesting as a burning sensation in the lower chest or the upper abdomen,” says Dr. Srikanth K P, Consultant - Paediatric Gastroenterology and Hepatology, Manipal Hospital Old Airport Road, Whitefield and Sarjapur.?

These symptoms can arise from any kind of stress, and for kids, examinations can be a source of stress.?

Stress relaxation techniques for students

According to Dr. Srikanth, “Various relaxation techniques can help with stress. For digestive symptoms, children should avoid eating heavy meals with high-calorie content like processed food and deep-fried items. Meals should be reasonably light, unprocessed, and include homemade, nutritious foods containing fruits and vegetables.”

“At the same time, it’s also not advisable to skip meals as both fasting and lack of sleep can exaggerate the already stressed situation. Have a good night's sleep and dinner around 2-3 hours before bedtime, and a decent breakfast in the morning can help maintain overall well-being and relieve stress-related gastrointestinal symptoms,” adds Dr. Srikanth

Hydration is key—children and adolescents should ideally drink between 1.5 - 2.5 liters of water daily.?

Following the above measures can help regulate the gut and help kids and teenagers stay comfortable without any burn or acidity symptoms.?

Why does stress trigger acidity?

The stress of an examination does not just affect the mind but it also impacts the stomach, hence, “Many students experience problems like acid reflux, heartburn, bloating, and indigestion due to anxiety,” says Dr. Mukesh Kumar, Consultant Gastroenterologist, Livasa Hospital, Hoshiarpur.?

Dr. Kumar adds, “When someone is stressed, the body releases chemicals like cortisol and adrenaline, which increases production of stomach acid. However, it may also occur because of poor eating habits, which leads to acidity and discomfort, and if ignored, it can worsen with time.?

Common Triggers

• Skipping meals causes excess acid buildup.
• Caffeine overload (tea, coffee, energy drinks) irritates the stomach lining.
• Junk food & spicy snacks slow digestion and worsen acidity.
• Lack of sleep affects digestion and acid regulation.
• Anxiety makes the stomach more sensitive.?
• Stress hormones directly impact gut health, leading to prolonged discomfort and sluggish digestion.

How to prevent acidity during exams

• Timely eating– Stick to small, regular meals.
• Hydration – Drink water, avoid sodas and excess caffeine.
• Eat healthy– Fiber-rich fruits, vegetables, and probiotics help digestion.
• Avoid triggers – Cut down on spicy, oily, and fried foods.
• Stress management – Practice deep breathing or light exercise.
• Sleep better– A well-rested body controls acidity better.