Bearing down like when you have a bowel movement (specifically, exhaling against a closed glottis) can stimulate the vagus nerve, which can cause your blood pressure to drop. It’s called a “Valsalva maneuver”. It has certain medical applications.
Otherwise, pain or emotional distress (e.g. seeing something traumatic) can cause a vasovagal response. Same idea — vagus nerve is stimulated, blood pressure drops. The feeling of lightheadedness and possibly fainting (syncope) can sometimes occur depending on the severity of the reaction.
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