A pain in the stomach from an immense need to shit. Often used as an excuse to get out of doing things, in a way it's almost like the male version of period pain.
"Hey, dudes, I have to go. I have a mad shit ache."
"Fuck that dude, you are such a piker"
"I'm serious dude, I'm about to shit all over the place"
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what people say when they're too dumb to know that its pronounced SHITAHKEY
jesus christ you people are stupid
leigh says: THIS RECIPE NEEDS SOME SHIT ACHE MUSHROOMS. DO WE HAVE ANY OF THOSE!?!?!
adrienne: no dumbass.
carley: HAHAHAH what?
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