A child or adolescent may perform poorly in school for many reasons, several of which may coexist.
Conditions associated with poor school performance include:
cerebral palsy
neurodegenerative disorder
frequent migraine headaches
traumatic brain injury
low IQ
dyslexia
poor visual acuity
medications
substance abuse
hypothyroidism
metabolic disorder
hunger
serious problems at home
post-traumatic stress disorder (PTSD)
depression
being bullied
attention deficit hyperactivity disorder (ADHD)
boredom
laziness
chronic infection (tuberculosis, intestinal parasites, etc)
anemia
poor oral health
cyanotic heart disease
disordered or insufficient sleep, including sleep apnea
physical exhaustion
teacher discrimination
problems in the school and educational system