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Pain [in the bum] is a [British slang] equivalent of [pain in the ass]. The bum in this case isn't an American bum, but a English bum which is a slightly less vulgar equivalent of arse, or if you are American ass. At one time, certainly during during the seventeenth century the word bum wasn't considered vulgar at all, one Gentleman Soldier, fighting for the King during the English Civil War, recorded how on one occasion the going was so difficult that he "slipped and fell on my bum".
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