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They asked for physical pain, so psychosomatic likely doesn't count. Not that they're uninteresting topics or anything....
I used to have similar "pain" from trying to imagine the scale of things. Like when I was a young teen, I'd try to literally visualize what a mile of terrain looked like, or the insanely small scale of molecules, and suddenly I'd lose reference to what 'normal' scale was, and it'd freak me out completely when it felt like the room I was in was both miniscule and insanely vast.
Not really pain, but extreme discomfort that you cannot make go away. There's a term for losing ones' frame of reference for scale, but it escapes me at the moment. Luckily, I got better and better at visualizing things and vast scales stopped triggering what ever that was. Some people have it as a general disability and ohhh boy do I not envy them!
OP's example is having a toilet paper accident and poking their own rectum, which I doubt is the most painful thing in the world and other people are going for the "most painful" interpretation, so I thought I'd cover all bases.
True, they did immediately break their own hypothetical's framework.