The phrase "give pain" can be replaced with multiple synonyms to convey various nuances of discomfort, injury or suffering. Some of the commonly used synonyms include "cause agony," "inflict torment," "induce anguish," "deliver misery" and "impart distress." These words are often used to describe the act of causing someone physical or emotional pain, or as a way of expressing the pain that one is feeling. Other synonyms such as "wreak havoc," "bring hardship," "create discomfort," "produce suffering," "generate affliction" and "create grief" can also be used to describe situations where pain or difficulty is being caused or experienced. Regardless of the synonym used, the message conveyed remains the same- that someone is experiencing distressing emotions or physical pain.