Haha everyone's view of this song cracks me the butt hole up. But I believe the song is about a roller coaster ride that makes him feel nauseous and while he is on it he feels like he is perishing because the pit of his stomach is coming out his mouth and he doesn't know what to do about it except for scream. You people with rape, murder, and vampires are intense, but hey lets take it pg and claim that it's just a bad Six Flags experience.