Which word has the same meaning as acute as it is used in this paragraph

In the context of an adjective used to describe pain, we can look at the answer choices:

Silent pain seems like an odd choice for someone to notify a doctor about, so that is probably not the answer.

Thoughtful does not describe pain.

Responsive does not describe pain.

Severe pain would be a reason for someone to notify a doctor, so this is likely the correct answer choice.

i'm not good at running

people wont do this for 10 points you need at least 50