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It means that the target is in a bad mood or in [unnecessary] distress, and you are implying this with the notion of them having a stick in their anal cavity, which, of course, is very painful and would definately cause a rather pissy mood. It's a way of telling them to STFU. However, this phrase is not recommended around people who constantly make [Yo Mama jokes]. A similar thing to say would be telling them this with the [Sandy Vagina] phrase.
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