Honestly, I have eaten some insanely hot peppers and sauce. The whole "coming out" thing is not really a problem for me. What is a problem, is that I have some acid reflux issues, and if I'm not careful about when I eat spicy food and when I go to bed, and neglect to take either an antacid or drink some milk/eat some yogurt after a session of very spicy food, I can end up in severe pain.