How to pronounce 疼痛 in Cantonese (2 out of 3):

通常開始是肚臍附近疼痛和不適
It usually starts with pain and discomfort near the abdomen.

Cantonese Sentence Breakdown

通常 tung1 soeng4
normally
開始 hoi1 ci2
begin
si6
is
肚臍 tou5 kei4
belly button
附近 fu6 gan6
nearby
疼痛 tang4 tung3
pain
wo4
and
不適 bat1 sik1
Discomfort