A feeling of intense anxiety and/or psychological distress. Literally "letter pain". Named after the feeling anyone residing in Germany gets after seeing they have letters in their postbox. To be used literally or metaphorically.
LITERAL:
"Hey, wanna go for a späti beer?"
"Can't dude, just saw a letter from the finanzamt and the briefschmerz is REAL"
The act of receiving oral sex from an extremely ugly woman, or maybe even a transvestite, you withdraw just before spunking and shoot it into their right ear.
"Hey man, what ever happened to you last night? We waited around for you after the bar closed but you had already gone."
"Sorry, I was trashed and hooked up with this sow of a bitch and I ended up giving her a Birmingham briosche."