The Germans probably have a word for that second bout of gut pain, and it's probably something awesome. Something that expresses the combination of discomfort, pain, disgust, and resignation that makes that moment so very unpleasant. In English we have to describe it with a whole bunch of words, which destroys the impact that comes from the unified nature of the situation.
It almost makes me wish my family had stayed in Germany instead of immigrating to the U.S. Except for, you know, the holocaust.