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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Eternity · 26-30, M

How it normally goes is if someone with authority does something wrong, there are reasons for that.

But if a pleb does something wrong, anything reason they may have is an excuse.