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Similar to a stomachache, one gets a poopache when they have not flushed their body of waste for an alarming number of days. In other words, the ache a person might get when they have to poop but hold it off. May or may not be accompanied excessiver with gas, stomach pains & aches.
Boy: I haven't gotten a chance to take a dump in the longest time and my stomach hurts like hell.
Girl: Damn, sucks for you. You must have a poopache.

Man: My stomach fucking aches, I'm passing gas, and I get these excruciating pains in my abdomen, what the hell is this shit, Doc?
Doctor: Looks like you have a poopache. No worries, just take a dump ASAP.
by WhoSaidThat September 27, 2009
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2
When you have a sharp pain in your lower region because you need to poop.
"Man after I ate that huge burrito I had a massive poopache. It took an hour on the toilet to clear THAT up"
by Heptagon July 17, 2016
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