Agony

1. Paroxysm of joy; keen emotion.
2. Pain so extreme as to cause writhing or contortions of the body, similar to those made in the athletic contests in Greece; and hence, extreme pain of mind or body; anguish; paroxysm of grief; specifically, the sufferings of Christ in the garden of Gethsemane.
3. The last struggle of life; death struggle.
4. Violent contest or striving.