What are "reasons" and "excuse"? Are they the same thing?

Let say I am late going to school because I had stomachache, would it be excuse or reasons?

Why excuse always has negative perception while it is the reason why it happen?

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caPnAhab · 26-30, M

I think an excuse is like a reason but also an attempt to let you off the hook.

Whereas when you have your reasons, you accept the responsibility.