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Out Both Ends 

A dance move where one squats while thrusting both their arms back and forth motion. Ideally your left arm should be placed in front of you (in front of your groin area) and your right arm should be placed behind your buttox. Repeat this motion while squatting and you will be performing the Out Both Ends correctly.
Woah look at that guy! He's doing the Out Both Ends, what a chad!
Out Both Ends by Aksh Patel June 9, 2021
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Puking out both ends

Shitting and puking at the same time.
Whoa man I just went to go take a runny shit, and my stomach got all queasy. Then all of a sudden I was puking out both ends!
Puking out both ends by Quentin_B November 6, 2006

Coughing out of Both Ends 

When you accidentally cough and fart at the same time.
I was coughing a lot last week, and I accidentally farted at one point. My mother was in the room, so I told her I was "coughing out of both ends" to hide the shame.

blasting out of both ends 

A slang term used to describe projectile vomiting and explosive diarrhea at the same time.
Side effects may include: Blasting out of both ends.

Blowing out of both ends of the pipe 

Speaking to something to which you know nothing of and end up embarrassing yourself due to your stupidity. Similar to "talking out of one's ass"
"Pipe" can be substituted with "straw" or any other type of tube.
Sports Pundit: "Defensive coaches can't win championships in the modern era."

"Wow, talk about blowing out of both ends of the pipe."