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CW: illness and bodily fluids
Warning: I'm not a doctor and the following comment isn't medical advice. I'll talk about first hand account.
I've both heard of and seen people losing consciousness briefly while having a bad time puking hard or defecating hard. Happened to my dad once when he had a tough case of food poisoning, he was defecting and I heard a loud thud in the bathroom, ran there and found him with his face on the floor, fallen forwards. After that, it never happened again and it's been years since that. I'm not trying to tell you not to pursue medical examination, but it wouldn't be the first person getting worried over losing consciousness while doing serious gut effort.
Its called Vasovagal syncope, and it can be triggered by the valsalva maneuver (the increased abdominal pressure when someone ‘bares down’ to poop or blowing hard through a tiny straw etc)
Yeah the same thing causes some people to faint when they get a shot