The state a person finds themselves in when they have diarrhea and have to throw up at the same time.
Ted had eaten a bad batch of clams which landed him in the bathroom, when he was faced with the "ultimate dilemma."

Does he get off the toilet and regurgitate in it, and take the chance on soiling himself from additional diarrhea, or does he try to reach for the bathtub while on the toilet, and chance throwing up all over his clothes?
by Kraegarth October 15, 2012
Get the Ultimate Dilemma mug.