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This phrase was coined by a bunch of crazies from south western Pa. in the early 80's. It was used to piss off whomever was in ears..
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a ring with a noticeably large clear stone (real or fake) placed on the ring finger of the left hand to look like an engagement ring wit..
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Horrible wet beer shits.
I drank all night long, now I'm hungover and have butt throwup.
See beer shits, runs, diarrhea, butt pis..