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abbreviation of cackerwaul (verb):

to cough uncontrollably while also crying with uncontrollable laughter;

acronym: CACWL: crying and coughing with laughter.

CACWL is ROFL/LOL for those with the flu, for whom laughter triggers a coughing fit and brings tears to the eyes.
OMG CACWL.... Crying with laughter, gave me coughing fit. Can't breathe! Spluttering & coughing. BRB
by Furreals April 02, 2011
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