Cryptic crossword clue
Pick up head of thistle by stream? That’s painful! 9

The most common and most likely answer to this crossword clue is the 9 letter word HEARTBURN

I've seen this crossword clue in Financial Times
H
E
A
R
T
B
U
R
N


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The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does HEARTBURN mean?

HEARTBURN noun
  1. A burning pain in the chest that is caused by stomach acid entering the gullet.

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