A variation of the "Trouser Land Pike", the "Northern Blue Vein" results from the ingestion of excessive quantities of drugstargeting E.D.
"Jeezus Bill, I got a Northern Blue Vein here that wont quit ! I dont know whether to call the guinness book of world records, or get my ass to the E.R."
When one has blue balls and they are about to engage in intercourse but are trying not to fart. The awkwardness of holding In a fart but the pain of having blue balls.