a sudden feeling of mental or emotional distress or longing: a pang of remorse; a pang of desire.
a sudden, brief, sharp pain or physical sensation; spasm: hunger pangs.

1495–1505; origin uncertain

1, 2. twinge, ache, throb, prick, stab. Unabridged
Based on the Random House Dictionary, © Random House, Inc. 2014.
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World English Dictionary
pang (pæŋ)
a sudden brief sharp feeling, as of loneliness, physical pain, or hunger
[C16: variant of earlier prange, of Germanic origin]

Collins English Dictionary - Complete & Unabridged 10th Edition
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Word Origin & History

1526, "sudden physical pain," of unknown origin, perhaps related to prong (prongys of deth is recorded from 1447). Ref. to mental pain is from 1570.
Online Etymology Dictionary, © 2010 Douglas Harper
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American Heritage
Medical Dictionary

pang (pāng)
A sudden sharp spasm of pain.

The American Heritage® Stedman's Medical Dictionary
Copyright © 2002, 2001, 1995 by Houghton Mifflin Company. Published by Houghton Mifflin Company.
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Example sentences
There is evidence that the breakdown of order could be caused partly by the
  first pangs of hunger but more likely by panic.
Still, the desire to avoid withdrawal pangs may explain why billions of humans
  so eagerly consume caffeine every day.
Frustration set in as my heavy rucksack and sprained ankle started sending
  pangs of pain throughout my body.
The idea is that carbs cause the body to overproduce insulin, a hormone that
  provokes hunger pangs, which leads to more eating.
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