I would get extremely nervous in the lead up to my university exams, I'd have difficulty falling asleep the night before, I'd be tossing and turning all night going over everything in my head and I'd feel anxious and sick (my stomach would be incredibly queasy) to the point I'd have trouble eating anything in the morning. So I'd go into my exams tired and irritable (because I hadn't eaten much) and I'd make stupid mistakes.
Eventually I got over this but it took me a year or two and it definitely had an effect on my grades.
I urge you to not dismiss your son's complaints but to instead investigate them further, preferably with the help of a professional therapist, to save him from the possibility of escalation of his problem.
Capacity to deal with either actually grows over time, you know that?