Pukes & Dukes is when you are VERY, VERY, VERY sick and you are throwing up, and going number one out your ass at the same time ( liquid shits)
Normally you will need a trash can, sink, bathtub, or shower stall very close to the toilet to avoid a massive clean up in your underpants, flooring or walls.
Avoid laughing, coughing, sneezing, or any other movements that will cause you to un-pucker your rectum because this could lead to a shart.
Man I am soooo sick today, I have the pukes and dukes. I almost shit my pants but I got lucky and snapped up the trash can and sat down.
Ugg... pukes and dukes are the worst, nothing like having it come out of both ends..