Uncertain. Some sources say the interjection is attested since 1838[1] (and specifically in American English) and derives ultimately fromGermanautsch,[2][3] perhaps specifically viaPennsylvania Germanoutch(“cry of pain”), as early attestations of the interjection are from Pennsylvania.[3] However, others say the interjection is a "mere"[4] or "natural" exclamation attested since the mid 1600s,[5] and the 1933OED[3] cites one instance of averb "ouch" in 1654, "Sancho Pancas Runs Ouching round the mountaine like a ranck-Asse".[6]
ouch
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ouch (pluralouches)
ouch (third-person singular simple presentouches,present participleouching,simple past and past participleouched)
Variant forms.
ouch (pluralouches)
ouch
Inherited fromOld High Germanouh, fromProto-West Germanic*auk, fromProto-Germanic*auk, fromProto-Indo-European*h₂ew +*gʰe.
ouch