puke one's guts out

figuratively slang

(slang, figuratively) To vomit intensely, prolongedly, or both.

Japanese Meaning

激しく、長時間にわたって嘔吐すること / 腹の内臓を吐き出すほどに吐くこと

He described the illness as making him "puke one's guts out" all night.

彼は、その病気のせいで一晩中激しく嘔吐したと述べた。

Sense（1）

(slang, figuratively) To vomit intensely, prolongedly, or both.

pukes one's guts out

（ present singular third-person ）

puking one's guts out

（ participle present ）

puked one's guts out

（ participle past ）

puked one's guts out

（ past ）