How to say "heartache" in Japanese

• 痛心つうしん
  noun, suru verb, intransitive verbCovers heartache and worry, suggesting distress weighing on the mind. It is a less common word, so learners will more often want a phrase such as 心の痛み in everyday expression.
• 心の痛みこころのいたみ
  expression, nounThe most natural choice for heartache as emotional pain — grief, regret, or anguish felt in one's heart, as when remembering a loss or a painful decision.
  君きみには御ご両親りょうしんの心こころの痛いたみが分わからないのか。↗

  Can't you understand the pain of your parents?
• 心痛しんつう
  suru verb, intransitive verb, no-adjectiveListed with worry and mental agony first, it tends toward anguish over troubling circumstances rather than grief over loss, and is itself less common.
  彼女かのじょはその子供こどもの心痛しんつうをいやすのに苦労くろうした。↗

  She took pains to help the child overcome his grief.

For emotional pain felt over loss or worry, 「心の痛み」 is the natural phrase; 痛心 and 心痛 are less common single-word options that lean toward worry or mental agony.

Usage comparisons are AI-assisted and cross-checked by multiple models; for study reference only

• 痛心つうしんheartache
• 心の痛みこころのいたみheartache
• 心痛しんつうworry