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The act of physically holding your ass-cheeks with your hands and running for dear life, dignity and decency towards the nearest restroom. And why? Because you've really gotta go.
Jeremy: Man, you know, I had a hilarious time yesterday.

Frank: Why's that?

Jeremy: Because me and my girlfriend were at the mall and she had to do a Billy Run. Dammit that was funny!

Frank: HAH!
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Run the puffing Billy 

When a group of senior men over the age of 70 run a train on your girl. The term is from how one of the oldest steam trains is called The Puffing Billy, and how some of those 80 year old weenies let out a puff of air instead of a cumshot upon finishing
My ex gf said she was going to the retirement home to volunteer, but it turns out she was there to let a bunch of old heads run the puffing Billy on her
Caribbean term for diarrhea or loose bowels.
"All that liquor is giving me run belly."
run belly by ScorpioSista July 7, 2018