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"in pain" is a perfectly correct and usable phrase in written English.
You can use it whenever you are describing a state of physical discomfort or illness. For example: "The patient was suffering in pain after the accident."
Exact(60)
"You in pain?
"I am in pain.
Rose writhed in pain.
Subject looks in pain.
They're in pain.
"We lived in pain.
They looked in pain.
She appears in pain.
She is in pain.
"He was in pain".
I'm not in pain.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com