I'm guessing you know that Ex-Lax is a laxative, which makes this more amusing. It explains why Tommy is so terrible—he's constipated!
It doesn't explain why he's so manically excited at the end, though. Take it easy, kid. (Ad from LIFE magazine, February 1940. Thanks to Weird Universe for the tip.)
You might be manically happy too if you'd just unleashed an eight kilogram bowel movement :)
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