Etymology

turtle head

Today it means: To emerge partially from the body, as a result of heightened internal pressure in the bowels. Full definition →

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The story

By analogy with the manner whereby a turtle's or tortoise's head gradually emerges from the shell, after having been kept inside for some time for defensive or resting purposes. When threatened (such as by contact), the head rapidly retreats into the shell, which might have further reinforced the vulgar analogy.

Etymology from Wiktionary, CC BY-SA 4.0.