Two things caused him anguish: his lack of purity and his lack of faith.
Separation from the son she loved—even that did not cause her anguish in these early days.
He did not even wish for her life now, all he longed for was the end of this awful anguish.
And all at once a different pain, not an ache, but an inner trouble, that set his whole being in anguish, made him for an instant forget his toothache.
…there rose again before her imagination the cruel memory, that always tore her mother’s heart, of the death of her last little baby, who had died of croup; his funeral, the callous indifference of all at the little pink coffin, and her own torn heart, and her lonely anguish at the sight of the pale little brow with its projecting temples, and the open, wondering little mouth seen in the coffin at the moment when it was being covered with the little pink lid with a cross braided on it.
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.