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why do I feel faint in a hot shower or when I stand up too quickly your heart has tremendous challenges not only does it have to continuously pump blood to all your cells all the time it has to overcome gravity your body position and many other day-to-day physical situational and cognitive stresses when you get into a hot shower your blood vessels expand and blood is drawn to your skin and your extremities similarly when you stand up too quickly after sitting down for a while gravity pulls blood to your feet when this happened blood returns to your heart slower and your heart needs to work harder to maintain blood pressure this can make you feel dizzy or even cause you to faint stress or emotional upset can have the same effect and so can some very basic activities such as urinating coughing or sneezing most causes of dissonance are nothing to worry about and you may just be dehydrated but if itamp;#39;s happening regularly or your fainting completely unpredictably or without warning