Used to show frustration,
More of a child-appropriate frustration.
Notice, how it is more friendly than saying something as...
'Makes me want to punch a baby!'
Seriously, that's just cruel!
Italian Joe says: You know that psycho bitch Macy?
Juan says: Hellz Yea! What about her?
Italian Joe says: She makes me want to 'tickle a midget'!
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An alternative term for male masturbation, or any manual stimulation of the penis.
Women's beach volley ball always makes me want to "tickle the midget."