Unfortunately, you can take it to mean a few things, but each of
them is equally gruesome. I offer a word of caution first, so that
you know that the following reference may be inappropriate for
some:
http://www.urbandictionary.com/define.php?term=hot+dog+flavored+water
It is also a part of an album from the artist "Limp Bizkit" with
the full album name "Chocolate Starfish and The Hot Dog Flavored
Water". Yes, both terms have a meaning that is an unpleasantry.