My Daughter's Mystery Illness: When Doctors Find Nothing Wrong But Your Child Is Clearly Suffering
The Six-Month
Medical Mystery
For six months, I took
my daughter Emma to doctors.
It started with
stomachaches. Almost every morning before school, she'd complain her stomach
hurt. I'd give her antacids, adjust her breakfast, try probiotics. Nothing
helped.
Then came the
headaches. Two or three times a week, she'd come home from school holding her
head, asking for medicine.
We saw her
pediatrician four times. They tested for food allergies, celiac disease,
lactose intolerance, H. pylori bacteria, migraines.
Every test came back
normal.
"There's nothing
physically wrong with her," the doctor finally said. "Have you
considered that this might be stress?"
I was insulted. My
daughter wasn't stressed—she was sick. Doctors just couldn't figure out
what was wrong.
It took another month
and a perceptive school counselor before I finally understood the truth: Emma's
symptoms were 100% real—but they weren't caused by her stomach or her head.
They were caused by anxiety.
The Mind-Body
Connection Nobody Warns You About
Here's what no one
tells you when you become a parent: children's bodies express stress in ways
that look exactly like physical illness.
When your child says
"my stomach hurts," they're not lying. When they complain of
headaches, they're not making it up. The pain is real.
But the cause isn't
always physical.
Medical professionals
call these psychosomatic symptoms—physical symptoms caused or made worse
by mental and emotional factors. According to published research, the
prevalence of psychosomatic complaints in children and adolescents ranges
between 10-25%. That's potentially 1 in 4 children.
Stress affects nearly every system in the body:
- Muscular system: Tense muscles causing headaches,
backaches, body pain
- Digestive system: Stomachaches, nausea, constipation,
diarrhea
- Immune system: Getting sick more frequently
- Respiratory system: Breathing problems, can trigger asthma
- Nervous system: Sleep disturbances, difficulty
concentrating
A groundbreaking study
found that 79% of young people aged 8-15 with recurrent abdominal pain also
had an anxiety disorder, while 43% had a depressive disorder.
The problem? Parents and doctors often spend months
treating symptoms while the underlying stress goes completely unaddressed.
The 6 Physical
Symptoms That Are Actually Mental Health Red Flags
Symptom #1: The
Monday Morning Stomachache
I worked with a
child—we'll call him Rory—who struggled with reading. Every day during reading
lessons, his stomach hurt so badly he had to visit the nurse. His parents did
blood work, stool samples, ultrasounds. Nothing.
Finally, someone
asked: "When exactly does his stomach hurt?"
The pattern was
unmistakable: Only during school days. Only during reading lessons. Never on
weekends.
Research confirms
this. Pediatric specialists at Children's Health report that stress and
anxiety are among the top triggers for gastrointestinal issues in children.
The neurotransmitters controlling mood are the same ones controlling pain and
digestion.
What to watch for: Stomachaches that follow patterns (always
before school, always on test days), pain that disappears when stress is
removed, multiple doctor visits with no medical explanation.
Key question: "When does it hurt? When does it NOT
hurt?"
Symptom #2: Tension
Headaches That Come and Go
Fifteen-year-old
Kenneth juggled advanced classes, basketball, choir, babysitting his sister,
and household responsibilities. He started getting headaches—dull, constant
pressure at his temples, sometimes spreading to his neck.
These were classic
tension headaches caused by chronically tight muscles from stress.
When stressed, your
body tenses as part of the fight-or-flight response. When children live in
constant stress, those muscles never relax.
Common psychosomatic
symptoms include recurring headaches, stomach pain, chest discomfort,
unexplained fatigue, muscle aches, dizziness, and difficulty breathing.
What tension
headaches look like: Dull,
constant pressure (not throbbing), feeling like a tight band around the head,
worse at day's end or during stressful periods, often with tight shoulders and
neck.
Symptom #3: The
Return of Bedwetting
If your child has been
toilet-trained for over a year and suddenly starts wetting the bed again, it's
almost always a sign of significant stress.
Common triggers: Parents' divorce, moving, birth of a sibling,
bullying, traumatic events.
A child I worked
with—Michael—started wetting the bed after his parents separated. He was so
ashamed he'd hide his sheets. Medical tests showed nothing wrong. The reality?
His anxiety about the divorce was manifesting as loss of bladder control.
What parents need
to know: Never punish or
shame, this isn't voluntary, address the underlying stress, bedwetting
typically resolves when stress is managed.
Symptom #4: Sleep
Disruption
Children with anxiety
or depression often have trouble sleeping. The CDC lists difficulty sleeping
and frequent nightmares as common indicators of mental health
struggles.
Different patterns
to watch:
- Can't fall asleep: Lying awake for hours, mind racing,
especially bad on Sunday nights
- Nightmares: Frequent bad dreams about school,
bullies, or stressful situations
- Can't stay asleep: Waking frequently, never feeling rested
Emma would call me
into her room multiple times before sleeping. "I need water." "I
heard a noise." "I can't stop thinking about tomorrow."
What she was really
saying: "I'm anxious and
don't want to be alone with my thoughts."
Symptom #5:
Appetite Changes
Stress affects
appetite in opposite ways: some children stop eating entirely, while others eat
more for emotional comfort.
A child named Sarah
stopped eating lunch at school. Her mom packed nutritious lunches daily, but
Sarah came home with full lunch boxes.
Turns out, Sarah had
terrible social anxiety. The school cafeteria—loud, crowded, socially
complex—stressed her out so much she couldn't eat.
Watch for: Sudden changes in eating patterns, only eating
(or not eating) in certain locations, food-related issues appearing with other
stress symptoms.
Symptom #6:
"Feeling Sick" Without Being Sick
This drove me crazy
with Emma: vague complaints of not feeling well. "I just don't feel
good." "I feel funny." "Something's wrong but I don't know
what."
I'd check for
fever—nothing. Look for rashes—nothing. She couldn't explain it.
What was happening: Her body was in constant stress arousal. Her
nervous system fired "something is wrong" signals, but there was no
physical illness to point to.
This manifests as:
feeling feverish without fever, general malaise and fatigue, vague aches and
pains, feeling "off" or "weird."
The Question That
Changed Everything
After months of
appointments, Emma's pediatrician asked the right question:
"Emma, what's the
hardest part of your school day?"
Emma started crying.
"Everything. I'm scared I'm going to fail. I'm scared I'm going to get in
trouble. I'm scared the other kids don't like me."
She wasn't sick.
She was terrified.
Her body was trying to
tell us the only way it knew how—through physical symptoms that would make us
pay attention.
How to Tell
Physical Illness from Stress-Related Symptoms
Ask these three
questions:
- Is there a pattern? Does it happen only at certain times
(school days, before tests) and disappear in certain situations (weekends,
vacations)?
- Have doctors ruled out physical causes? Have appropriate medical tests been done?
Do symptoms not match any medical diagnosis?
- Are there other signs of stress? Behavior changes, mood changes, sleep
issues, social withdrawal?
If the answer is
yes to all three questions, you're likely dealing with psychosomatic symptoms
caused by stress.
What to Do When You
Realize It's Stress
Step 1: Validate
that the symptoms are real
Never say "it's
all in your head." The pain is legitimate—it's just being caused by stress
rather than physical illness.
Step 2: Have an
honest conversation
"Emma, the
doctors checked you carefully and your body is healthy. But I think maybe your
stomach and head hurt because you're feeling worried or stressed. Can we talk
about what's making you feel worried?"
Step 3: Identify
the stressors
In Emma's case:
academic pressure (fear of falling behind), social anxiety (worrying about
friendships), perfectionism (feeling like she had to be perfect).
According to current
CDC data (2022-2023), 11% of children ages 3-17 have diagnosed anxiety—significantly
higher than previously reported. Early intervention is
key.
Step 4: Address the
root causes
We talked to her
teacher about accommodations, started working with a child therapist, practiced
stress-reduction techniques at home, adjusted our expectations about grades.
Step 5: Build a
stress-management toolkit
Research shows
cognitive behavioral therapy (CBT) is effective for treating somatic symptom
disorder in children. Strategies include:
- Deep breathing exercises
- Physical activity (releases stress)
- Creative outlets
- Talking about feelings
- Regular downtime and fun
Three Months Later
Within three months of
addressing Emma's anxiety, the stomachaches and headaches were 90% better.
Not because we found
the right medication or diet. Because we treated the actual cause: her
stress and anxiety.
She still gets
occasional nervous stomach before big events—that's normal. But she's not
missing school. She's not in constant pain. She's not cycling through doctors'
offices.
Most importantly, she
now has tools to manage stress before it manifests as physical symptoms.
The Medical
Validation You Need
If you're reading this
thinking "this sounds like my child," please know: you're not
wrong to take physical symptoms seriously.
You should absolutely
see doctors, rule out physical causes, and take pain seriously.
But if doctors
can't find anything wrong, and if symptoms follow stress-related patterns, it's
time to look at mental health.
There's no shame in
this. Psychosomatic symptoms are not "made up" or "just wanting
attention." They're your child's body saying "I'm overwhelmed and I
need help."
The Bigger Picture
Current research shows
that children who are naturally sensitive, perfectionistic, or highly
empathetic may be particularly prone to developing psychosomatic symptoms when
overwhelmed. Children with ADHD (which affects 11.4%
of U.S. children as of 2022) often struggle with
emotional regulation, making them more vulnerable to stress-related physical
symptoms.
In my book Positive Minds: A Step-By-Step Guide to Mental Wellness for Children, I dedicate
entire chapters to understanding the mind-body connection and giving parents
practical tools to help their children develop healthy coping mechanisms before
stress becomes physical illness.
Because the earlier
you catch it, the easier it is to address. And the earlier children learn to
manage stress in healthy ways, the better their mental and physical health will
be for life.
Your child's body
is trying to tell you something. Are you listening?
References:
- Garralda, M.E. (2011). Psychosomatic
disorders in pediatrics. Indian Journal of Pediatrics, 68(6),
597-603. https://pubmed.ncbi.nlm.nih.gov/11519281/
- American Psychological Association.
(2018). Stress effects on the body. https://www.apa.org/topics/stress/body
- The Wave Clinic. (2024). Understanding
Psychosomatic Pain in Young People.
https://thewaveclinic.com/blog/understanding-psychosomatic-pain-in-young-people/
- Puckett-Perez, S. (2024). Stress, Anxiety
& Stomach Aches in Kids. Children's Health.
https://www.childrens.com/health-wellness/stress-anxiety-and-stomach-aches-in-kids
- NeuroBehavioral Associates. (2025).
Understanding Psychosomatic Symptoms: When the Mind and Body Connect.
https://nbatests.com/understanding-psychosomatic-symptoms-when-the-mind-and-body-connect/
- Centers for Disease Control and
Prevention. (2023). Data and Statistics on Children's Mental Health.
https://www.cdc.gov/children-mental-health/data-research/index.html
- Crushell, E., et al. (2003). Importance of
parental conceptual model of illness in severe recurrent abdominal pain. Archives
of Disease in Childhood, 88(11), 1033-1034.
- Child Mind Institute. (2024). Anxious
Stomachaches and Headaches.
https://childmind.org/article/anxious-stomach-aches-and-headaches/
- Centers for Disease Control and
Prevention. (2023). National Health Interview Survey, 2022-2023.
https://www.cdc.gov/children-mental-health/data-research/index.html
- Campo, J.V., & Fritsch, S.L. (1994).
Somatization in children and adolescents. Journal of the American
Academy of Child & Adolescent Psychiatry, 33(9), 1223-1235.
- Danielson, M.L., et al. (2024). ADHD
Prevalence Among U.S. Children and Adolescents in 2022. Journal of
Clinical Child & Adolescent Psychology.
https://www.cdc.gov/adhd/data/index.html


