Sorry, no online dictionaries contain the exact phrase pained scream.
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Reverse dictionary results:
1. anguished cry
2. agonized shout
3. wretched scream
4. tormented yell
5. distressing howl
6. yowl
7. alas
8. groan
9. moan
10. ouch
11. yearn
12. yelp
13. soothe
14. sorry
15. tender
16. bellow
17. cry
18. cry out
19. holler
20. howl
21. howling
22. roar
23. screech
24. screeching
25. shouting
26. shrieked
27. squall
28. wail
29. yell
30. yelling
31. agony
32. bawl
33. bawling
34. bitter
35. complaint
36. distressful
37. help
38. moaning
39. ouches
40. owe

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You can look up the words in the phrase individually using these links:   pained ?   scream ?
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