Top Definition
When you are vomiting and have the runs at the same time. Hence, Puking shits.
#1: Bro, you weren't at work today, the boss is mad as fuck.

#2: Man, I was sick. I had the puking shits.

#1: Oh. It's a good idea you didn't come to work then.
by Pepsi max drinking white man June 12, 2010

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