He had managed, with a heroic effort, to hold down the mounting pressure of his hilarity; but "sweet mother" (in the Savage’s tremulous tone of anguish) and the reference to Tybalt lying dead, but evidently uncremated and wasting his phosphorus on a dim monument, were too much for him.
There are no more uses of "anguish" in the book.
Show samples from other sources
I felt unbearable anguish when my 4-year-old child died from brain cancer.
Her guilt led to anguish until she committed her life to good.