Needing to lie flat

I know that its extremely speculative and very farfetched but I was reading some time ago Sagan's The Dragons of Eden where he was speculating the "fear of falling" as an innate, evolved mechanism rooted in the history of human ancestors. He cites Washburn's theory that our ancestors lived in trees, where falling was a frequent and deadly danger thus the instinctual fear of falling is specifically tied to the dangers posed by gravity to tree-dwellers. In this prism we can consider the need to lay down/flat or secure our position during PEM or even at baseline ME/CFS as an internal danger response to whatever goes continuously wrong in cellular level which can cause the aforementioned incidents i.e "falling from the tree".
 
PUTTING FEET UP

We have joint position sense in our nerves so our brain always knows where our body is. What if the need to put our feet up is to reduce that sensory input?

NEEDING TO LIE MORE FLAT
Our semicircular canals record our body position so again it looks like an attempt to reduce sensory input.

I don't understand why the need to reduce sensory input to the brain is so urgent.

This seems to be different to autism where sensory overload bills up over a period of time.

Oestrogens modulate sensory synapses

Just my idle musings
 
I find lying on my side exhausting. As if it requires putting in strength to hold myself in that position.
My HR lying on my side is higher than lying on my back or front, as @Utsikt said for 5-10 bpm.
I used to sleep on my side before getting ill which I can't imagine now.

Most of the time I'm awake I lie on my back. As soon as I'm a little bit worse, I start feeling something, a sensation, in my lower back and the urge to turn to my front. Lying on my front then feels better (it actually always does but the view is worse and life is more impractical).

The worse I am, the more lying on my front feels inadequate. It feels as if my body wants to sink deeper like @StellariaGraminea has mentioned.
 
I've guessed that it's because of insufficient cerebral blood flow
I've always assumed my need to lay down was something like this (maybe something more subtle and complicated, but along these lines) because my fogginess definitely gets worse the longer I am sitting/standing still. Being vertical is less bad if I am slightly moving/walking (at least in the short term, not sure about PEM) -- which really makes me think blood flow again.
 
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