gut ache

Slang term for stomach ache.

Reggie:How are you?
Paul:I have gut ache.

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guts ache

When your guts hurt like a bitch. (Expecially if your have a food allergy like lactose intolerance etc)

Ugh I ate so much food it gave me a guts ache.
OR
I had so much ice cream! I'm gonna have a guts ache later, I can already feel it

guts ache

When your gut hurts like a bitch (Expecially if your lactose intolerant)

AGH THAT ICE CREAM GAVE ME A GUTS ACHE