Hey Sammi — Win the Week
Episode 19July 28, 20267 minutes 3 seconds.

Why does my kid get physically sick before every game?

Short answer

If your kid gets physically sick before every game, that isn’t just normal nerves, his body is sounding a full-on alarm, and “toughen up” is the least helpful thing he could hear. Focus on shrinking what a mistake costs him, keep routines boring, and let your calm set the tone. If it’s this regular and physical, looping in your pediatrician is just good sense.

Telling an anxious kid to toughen up is like telling a drowning kid to swim better.

Questions this episode answers

  • Should I be talking to my kid about nerves before and after games, or is that fueling anxiety?
  • When should I consider getting a doctor involved if my kid keeps getting physically sick before games?
  • How do I handle coaches who push “mental toughness” when my child is struggling with pre-game anxiety?

Sammi's Take

Is this normal pregame nerves, or something else?

You know the drill. The night before a game, your kid goes quiet at dinner. By morning, his stomach’s in knots. This is not casual butterflies. This is a kid in the bathroom, getting sick over a game. And then, of course, some well-meaning grown man tells him to "toughen up." Sammi calls this out right away: butterflies are normal; scheduled, physical sickness is not.

Here's the difference. Racing thoughts, double-checking their gear, even needing the bathroom a couple times before warm-ups? That's a body getting ready for something big. These jitters can help. But when your kid is sick before every single game, the alarm bells are ringing for a reason. That’s not nerves, it’s something deeper, and it’s not solved by forcing your kid to be “tough” about it.

What’s actually freaking my kid out?

Nine times out of ten, it’s not losing the game itself. When anxious young athletes finally say what’s on their mind, “losing” is way down the list. What really messes with them? The idea of letting people down. Of messing up while everybody’s watching, then seeing facesm yours, their coach’s, a teammate’s, after a mistake. It’s not the scoreboard, it’s the cost of screwing up.

The fix isn’t more reps, more pressure, or acting like mistakes are a federal offense. If a mistake feels like catastrophe, your kid’s alarm system is going to keep going haywire. And a lot of what makes those mistakes so costly? It’s sitting right there in the adult reactions all around the game.

Could I be making it worse without realizing?

Even the stuff we think is supportive can make things harder. A pregame pep talk that sounds like, “Let’s go, bud! You’re going to kill it!”? That can come across as pressure in a party hat. Breaking down the game in the car, analyzing every detail? More pressure. Even asking if they’re nervous, if your own face is all worried, only tells them that something’s wrong, even if you meant well.

And the real kicker: when a parent starts tiptoeing around a nervous kid, constantly checking on his stomach, reading the worry for clues, suddenly everyone’s on eggshells and the message is, “See? Something’s wrong with you.” As Sammi puts it, “A worried parent hovering over an anxious kid is gasoline dressed up as water.”

So, what actually helps?

Go boring. Five absolutely ordinary, boring minutes before the game. Same breakfast, same music, zero talk about outcomes. Routine is medicine for an anxious kid’s system. Not some Instagrammable Pinterest routine, just “nothing special is happening” energy. You’ve probably even done this before a big work day: same playlist, same coffee, definitely not rehearsing in the car mirror.

Before and after the game, let your body language do the work. Relaxed, calm, maybe even a little bored, think “dentist appointment we do all the time” vibes.

After a rough game? Keep the ride home light. Deliberately boring. Show him that the car is not the place to dread, no matter how things went. If the anxiety is physical and regular, bring in your pediatrician, not because there’s something wrong with your kid, but because a kid working this hard deserves real backup. You’d do it for a limp that showed up every game day.

The relationship, not the result, has to stay the headline.

You don’t have to out-argue the coaches. You don’t have to win the psychology debate in the parking lot. You only need to make sure your own voice, unbothered, safe, boring, is the one your kid can actually hear.

So, next game day? Try asking, “What’s the worst part of the waiting?” And then just listen. That matters more than any scoreboard.

Tired of juggling six sports apps? Put Sammi to work

Episode transcript

Read full transcript

It starts the night before. He goes quiet at dinner. By morning, his stomach hurts. And it’s not an act. Your kid is in the bathroom getting sick. Over a game. And a grown man just told him to toughen up. Hi, I'm Sammi.

Welcome to the Hey Sammi Podcast. Every day I read one question from a real sports parent and answer it like a friend would.

Today, the kid who gets sick before games. And the adults getting it wrong. This one's from Mike in Philadelphia. He writes, my son gets incredible anxiety before every game, like physically sick. His coaches tell him to toughen up. Is this just nerves or is something else going on? Mike, let's draw the line your coaches can't.

Nerves are normal. Butterflies, chatter, needing the bathroom, um, twice before warm-ups? That's a body getting ready to compete, and it actually helps. But what you're describing crossed that line a while ago.

Physically sick, every game, on a schedule. That's not butterflies. That's a kid whose alarm system is going off, hard, over and over. And toughen up? Toughen up is not a treatment plan. It's what adults say when a kid's feelings make them uncomfortable.

Telling an anxious kid to toughen up is like telling a drowning kid to swim better. He would if he could. So now he's anxious and ashamed of being anxious. The coaches just doubled his load.

So what's the alarm about? Almost never the game itself. Ask anxious young athletes what they're afraid of, and losing is way down the list. It's letting people down. It's being watched while failing.

It's everyone's faces after a mistake. Which means the fix isn't more reps or more toughness. It's shrinking what a mistake costs him. And a lot of that cost lives in us.

So take a quiet inventory of what surrounds his games. The pep talk that's really pressure with a smile on it. The post-game breakdown in the car. Even asking, are you nervous, with a worried face tells him there's something to be nervous about.

Try 5 boring minutes instead. Same breakfast, same music, zero talk about outcomes. Boring is medicine for an anxious kid. I do a version of this before my own big work days. Same playlist, same coffee, no rehearsing in the mirror.

Bodies calm down when the routine says nothing special is happening. There's one more trap, and the most loving dads fall into it hardest. Don't start managing his anxiety out loud.

Checking in every hour on game day, asking how his stomach feels at breakfast with that face. A worried parent hovering over an anxious kid is gasoline dressed up as water. He reads your worry as confirmation that something's wrong with him.

So the game face you need isn't tough, it's relaxed. Borrow it from how you act before his dentist appointments. Calm, a little bored. We do this all the time. And after games, especially rough ones, keep the ride home light.

He spent the whole morning dreading that car. Prove it wrong.

And Mike, one more thing, and I say it with care. If it's this physical and this regular, bring your pediatrician into the loop. Not because something is wrong with him. Because a kid working this hard deserves a pro in his corner, and there are people who are great at exactly this. That's not overreacting. It's what you do for a limp that showed up every game day.

His stomach deserves the same respect as his ankle. And if he ever needs a season off, that's allowed too. The sport should fit the kid, not the other way around.

One more thing about those coaches. You don't have to win an argument about psychology with them. Just quietly refuse to let their voice become the loudest one he hears. Yours is closer. Use it.

This week, try this. Before his next game, ask him, What's the worst part of the waiting? Then just listen.

Have a question or comment? Email me, hey@heysammy.com.

About the Hey Sammi Podcast: Questions Sports Parents Actually Ask

Playing time. Quitting mid-season. Difficult coaches. Sideline drama. I answer the real questions you're dealing with every week. Got one of your own? Email me at hey@heysammi.com. Your question might be answered on the show.

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