Translate "Qual" into English

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Qual — pain (English)
An unpleasant, usually localised physical sensation that is often the result of an injury, disease or other ailment.
Great pain or suffering.
Pain, anguish or misery, either physical or mental.

The original German definition:

Qual (German)
Eine unangenehme, gewöhnlich lokal begrenzte Empfindung, die oft das Ergebnis von Verletzung, Krankheit oder anderen Leiden ist.

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