To puke out is to agree (when drunk, usually) to gay sex, but then sobering up and deciding not to have the gay sex.

Comes from a combination of puke and get out.
Joe: Yo dude, you said last night you'd give me head? What's the deal? You'd better not puke out on me!
Andy: I was drunk, I'm puking out!
by JVJ March 28, 2011
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mother nature's dumping big, fluffy flakes of snow so thick you can't see 2 feet in front of you--definite foreshadowing of an awesome powder day to come...
"Dude, it's puking out..."
by mountain gypsy February 9, 2010
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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!
by Quentin_B November 6, 2006
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A purse that becomes a glorified barf bag for your bodily waste, regurgitation, upchuck, etc. Generally occurs when you get unwanted contact from an ex flame, romantic companion, potential fling, or soul mate.
Dolly: OMG my that dick totally just messaged me and tried to apologize for standing me up!

Tracy: What a douchebag

Dolly: I know right.....I immediately starting rocking my puked out purse, it was all the rage (sarcasm)
by lennonutt February 4, 2011
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Due to alcohol or other poisoning you may experience loss of consciousness, drowsiness, nausea and most importantly vomiting. Depending on how many drinks you you might pass out face down in the toilet in your vomit. Normally brown in colour due to alcohol and HCl mixing in your stamach. If unlucky, you will projectile vomit till there is nothing left, that is when contents of your deodenum (small intestine) will start going through. If that happens alkaline in nature bile secreted to the small intestine will burn the lining of your stomach, making you feel sick for days to come. In this positive reinforcement loop of gagging on your own vomit and later bile you will be left exhausted physically and emotionally, dehydrated, starving and embarrassed. As the lining of your stomach and bacterial microflora of your gastrointestinal tract is damaged so severely, you will be unable to digest certain foods for a duration of days to weeks. Stay safe around alcohol and make sure your friends are not overdrinking.
Dude, Sam is puking guts out (her) in the bathroom, we should keep her awake and make sure she's safe.
by SirDrakula November 5, 2017
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A slang phrase referring to nausea of such extreme intensity that the physical act of vomiting "feels" comparable to expelling the contents of your viscera or gray matter (brain).
If you drink too much alcohol, you'll be "puking your brains out" in front of everyone.
by David in California October 24, 2006
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