In early pregnancy, I only want to lie down; I feel uncomfortable as soon as I stand up.

Nov 11, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In early pregnancy, feeling the need to lie down and experiencing discomfort upon standing may be caused by hormonal changes, increased physical strain, anemia during pregnancy, gestational hypotension, or hyperemesis gravidarum. Symptoms can be improved by adjusting posture, improving nutrition, or using medications. If symptoms worsen or are accompanied by dizziness and persistent vomiting, prompt medical attention is necessary. During pregnancy, estrogen and progesterone levels rise.

During early pregnancy, feeling the need to lie down and experiencing discomfort upon standing may be caused by hormonal changes, increased physical strain, gestational anemia, gestational hypotension, or hyperemesis gravidarum. Symptoms can be improved by adjusting posture, enhancing nutrition, or using medications. If symptoms worsen or are accompanied by dizziness or persistent vomiting, prompt medical attention is necessary.

1. Hormonal changes: Elevated estrogen and progesterone levels during pregnancy affect gastrointestinal function and blood vessel dilation, leading to dizziness and fatigue when standing up. It is recommended to change positions slowly—sit for a moment before rising—and avoid sudden standing to reduce discomfort.

2. Increased physical load: As the uterus enlarges, it compresses surrounding tissues, and the body must adapt to physiological changes of pregnancy, causing fatigue and a desire to lie down, with noticeable discomfort upon standing. Reduce physical exertion, rest in bed appropriately, and ensure sufficient daily sleep.

3. Gestational anemia: Increased iron requirements during pregnancy that are not promptly met can lead to reduced hemoglobin levels and decreased oxygen-carrying capacity, resulting in dizziness and fatigue upon standing. Under medical guidance, take medications such as polysaccharide-iron complex capsules, ferrous succinate tablets, and vitamin C tablets to alleviate symptoms.

4. Gestational hypotension: Pregnancy-related vasodilation can cause a sudden drop in blood pressure with postural changes, leading to dizziness and visual darkening when standing. Under medical guidance, use medications such as Shengmai Yin oral liquid, Yiqi Yangxue oral liquid, or Compound Ejiao Syrup to improve symptoms.

5. Hyperemesis gravidarum: Elevated HCG levels during pregnancy cause severe gastrointestinal reactions; frequent vomiting leads to electrolyte imbalances, causing weakness and discomfort upon standing. Follow medical advice to use pyridoxine (vitamin B6) tablets, oral rehydration salts III, and metoclopramide tablets to manage symptoms.

Daily care should include eating small, frequent meals to maintain nutrition, moving slowly when standing, avoiding prolonged standing, engaging in gentle physical activity, and maintaining good indoor ventilation to create a comfortable environment.

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