What is another word for cause of distress?

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Noun Annoyance or exasperation, or something that causes it grievance aggravation annoyance hassle bother exasperation irritation vexation aggro irritant nuisance headache inconvenience pest difficulty grief trial botheration frustration pain problem snag trouble bugbear infuriation irk peeve pip provocation rub ruffle thorn gall irksomeness affliction distress hair shirt hang-up unhappiness worry pain in the bum pain in the neck pet peeve pain in the backside pain in the rear chip on your shoulder complaint pet hate pet aversion fair cow aversion objection groan bane quibble dread dislike hate anathema bane of one's life thorn in the flesh thorn in one's side bete noire hateful object personal hate personal vexation concern bête noire ghost bête noir drag plague nudnik torment bind nark menace source of vexation goad skelf burden source of irritation pinprick bore nyaff tease source of annoyance “A protuberant abdomen can be a cause of distress for men and women alike.” Find more words! 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