Something so incredibly repugnant it causes you to become very sick instantly. Your brain cannot process things as it should and you begin to projectile vomit while looking up.
Dang, Edna, that old snuff dippin' three chinned goon tried to kiss me. I thought I was gonna puke straight up!
by Play On August 17, 2006
Get the puke straight upmug. by Party Rock Crew Member December 12, 2017
Get the Puke straightmug.