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Doushio is an image macro series usually featuring a delighted character holding their cheeks in their hands with the phrase captioned on the image; which in Japanese approximately means "What should I do?"
The original comic was first posted on the daily comics site LOL-COMICS run by illustrator Chris Torres, also known as prguitarman and the creator of Nyan Cat, on December 31st, 2008. In the original comic, the character describes how he's going to masturbate during New Years (shown below, left).
Around April 2010, an edit of the comic surfaced on 4chan with the text replaced in a scenario where the drawn character is being mistaken as a girl by someone off-screen. The character responds with a tounge-in-cheek response with Japanese phrases and mannerisms. In the last panel, the character holds his cheeks while uttering the phrase "doushio" (shown above, right).
While the phrase is often used in distressed situations by characters in anime and manga, it is sometimes used for humorous effect by taking a scenario lightheartedly in comedies. The doushio reaction has remained relatively low-key and is mostly limited to threads on 4chan, with the edited "doushio comic" sometimes popping up in "trap" threads or simply the last panel or a variation of it being used as an image reaction to something. Thread examples can be found on several 4chan archives.
 Prguitarman.com – Comic 212: Newyears
 LOL-Comics Livejournal – Mood | Horny
 Archive.Foolz – Uncaptioned Examples
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May 16, 2016 at 04:42PM EDT
May 18, 2016 at 03:10PM EDT in reply to
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