> I've also heard people say hot sauce is just as hot coming out as going in.
Depends on how much you eat, leastwise based on my own experience.
There was a point in my distant youth where I thought it was amusing to put as much spicy stuff on a meal as I could manage. Red pepper flakes, cayenne powder, tabasco, etc. It absolutely did burn going out--but only for about 5 minutes. I apparently ate enough to--err--make things go numb.
It was a very weird sensation and something I never did again given how unpleasant the whole experience was.
I'd imagine the people who--for whatever insane reason--participate in ghost pepper challenges experience something very similar if they can keep them down long enough to partake of the journey to completion.