Palpable anguish is a term used to describe intense emotional pain that can be felt physically. It can be difficult to express such intense emotions in words, but there are several synonyms that can be used to describe this feeling. Some synonyms for palpable anguish include agony, torment, misery, suffering, heartache, and pain. Each of these words describes a different aspect of the emotional pain that one might experience when going through a difficult time. Whether it's the physical discomfort, the mental anguish, or the overwhelming sense of sadness, these synonyms can help one express their emotions more accurately.