So, in a novel I'm writing, there is a situation where the first-person protagonist is in a lot of pain, so much that she is screaming and sobbing. I've seen the onomatopoeia "Augh" used to represent a person screaming. Normally, I stray away from using too much of those like "bang, clang, ding, etc." because they tend to be more distracting and I often don't have a place for them in my writing unless I'm using them as a verb. But, in this case, the screams are to come as an interruption of her thoughts, so instead of saying "I scream again" every few lines, I decided the onomatopoeia would be more natural to use to convey the effect of her being unable to concentrate.
I also do this later in the chapter, but instead of using only "Augh," I use "Augh" and "No." Here is an excerpt from the chapter:
Augh!" I scream out as a pain like a knife being pushed slowly through my head, and my skull, and my brain, takes hold of me.
It hurts so much... I can't process. I can't-
"Auugghh!" I scream again, this time punctuating it with sobs, as another stab of pain derails my train of thought.
"Jade!" Someone shouts. It's Cale. I saw everything. I saw it from his eyes. That's not –
"Auughh," Another scream escapes as if the very sight of Cale could cause me to reenter his mind. I shut my eyes and clutch my head.
"No! No! No! No!" I scream. Why am I saying no? What am I saying no to? I don't know. I don't know anything. Everything is impossible. It's not possible for me to see me from the eyes of the person that's carrying me; it's just not possible, and it can't happen but, it did. "No! No! No!"
"Jade, you have to calm down. You're going to hurt yourself even more if you keep thrashing around. You're alive; it's going to be alright." Deen tells me.
"No! No! No! No!" I shriek. The knife pain is not just in my head now. It's spread to my leg and my back and my entire body.
It needs to go away. I need to understand how I could –
"No! Auuuggghhh!" I scream. It won't let me think; I can't even try to understand how I could see all of it. I shouldn't remember. I can't be able to remember. "No!"
"Auuuugggghhhh!" The knife pushes itself further in.
Kinnie saved Tammie's life after she had the heart attack. She knew how to fix Tammie's –
"No! No! No!" The knife is almost at the front of my skull now, and it's still twisting.
Deen led everyone through the woods until Spenzo took over. Deen was going so fast that Kinnie and Tammie had trouble keeping up. After the heart attack Spenzo carried Tammie, and Deen offered to –
"Auuuuuuuuggggggghhhhhhhhhh!" It's through. The knife is through.
Is this style too distracting for the readers? Or is it just distracting enough for the context?
Any feedback you guys provide would be a great help. And, if this onomatopoeia usage is too distracting, what's an alternative I could do to convey the same effect?