I feel suffocated if I don't speak out.

骨鲠在喉,一吐方快.

《现代汉英综合大词典》

A lump rose in Clare's throat.

克莱觉得如鲠在喉.

辞典例句

At the entrance to the alley when he noticed the Lus'car, he stiffened inside.

在街口瞧见一部汽车, 认识是陆家的,心里就鲠一鲠.

汉英文学 - 围城

He is so honest and frank that everyone greatly respects him.

他的骨鲠之气赢得了大家的尊敬.

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I feel suffocated if I don't speak out; have an opinion one cannot suppress.

如骨鲠在喉, 一吐方快.

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A fishbone get stick in his throat , and after a long wrestle, he manage to swallow it down.

一根鱼骨鲠在他喉咙里, 他挣扎了许久,总算把它咽下去了.

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