When because of out partying till the early sunrise you decide to releave yourself by leaning out your friends window and puking on the street, but instead puke out your ass.
"I never Shit-puke before, but once i puked-shit"
by Haryazz December 12, 2003
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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.
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