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/Sounds like "ehs" (as in "egg") + "TAHR" (as in "tar") + "AHS" (as in "art") + "tah" (as in "tar") + "LAH" (as in "lava") + "MAH" (as in "mark") + "dreh" (as in "dress")/

Meaning

To be completely fed up, exhausted, and with zero patience left for an unbearable situation in Mexico. It's the maximum expression of being done, the last level before you explode and send everything to hell.

Examples

I'm hasta la madre with this daily traffic.

I'm hasta la madre of people cancelling plans on me.

Regional synonyms

Tail, bottom, or rear end. In Caribbean slang it can be quite explicit depending on context, but in standard use it simply refers to the back end of a person or animal.