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[Turtle head poking] out can mean two things: 1) To have an extreme urge to defecate, so much so that the feces is already spreading the anus and a portion of it is beginning to stick out. So called because it resembles a [turtle poking] its head out of its shell. 2) The portion of a long log of shit that protrudes above the water in a toilet. Since it is above the water, it can be smelled. So called because it resembles a turtle poking its head [out of the water].
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