She, who had seen her week after week so constantly suffering, oppressed by anguish of heart which she had neither courage to speak of, nor fortitude to conceal, now saw with a joy, which no other could equally share, an apparent composure of mind, which, in being the result as she trusted of serious reflection, must eventually lead her to contentment and cheerfulness.
This, as every thing else would have been, was too much for Marianne, who could only exclaim, in the anguish of her heart, "Oh!
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.