This was getting to be a real pain and fast.

Some people find reading and writing more of a challenge than others which can make school work a real pain.

There was a real, physical pain where her heart lived.

"The fact that I have to go to school every day is a real pain," he said.

That guy over there can be a real pain sometimes, too.

"I have already told you there is no such thing as real pain."

It seems to me that would be a real pain.

He hadn't, actually, expected to see real pain in her eyes.

It can be a real pain making sure you have the right insurance on all of them.

For her, this was only the beginning of the real pain.