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That could mean a few things really but from a romantic stand point it more than likely mean that 'I want (or miss you) so much that it hurts' it goes along with 'my heart is aching for you' as in im longing to be with you. either way it means the same thing. It all goes along with the "i want to be with you" thing but it adds a bit more passion.

its like being love sick you know when you feel so much love for someone that it makes you feel a bit sick to your stomach, or like you miss someone so much that your heart hurts? <3

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14y ago

What else can I help you with?