vs 

QUICK ANSWER
"Como me duele" is a form of "como me duele", a phrase which is often translated as "as it hurts". "Ay" is a form of "ay", an interjection which is often translated as "ow". Learn more about the difference between "como me duele" and "ay" below.
como me duele(
koh
-
moh
 
meh
 
dweh
-
leh
)
A phrase is a group of words commonly used together (e.g., once upon a time).
phrase
a. as it hurts
Como me duele, me he tomado dos aspirinas.As it hurts, I've taken two aspirines.
b. as...hurts
Como me duele la pierna, me sentaré un rato.As my leg hurts, I'll sit for a while.
c. as it aches
¿Todavía te duele la muela, verdad? - Sí, como me duele tanto, tendré que ir mañana al dentista.Your tooth is still aching, isn't it? - Yes, as it aches so much, I'll have to go to the dentist tomorrow.
d. as...aches
Como me duele el estómago, prefiero no cenar hoy.As my stomach aches, I'd rather not have dinner today.
Copyright © 2025 Dictionary Media Group, Inc.
ay(
ay
)
An interjection is a short utterance that expresses emotion, hesitation, or protest (e.g., Wow!).
interjection
a. ow
¡Ay! ¡Acabas de pisarme el pie!Ow! You just stepped on my foot!
b. ouch
¡Ay! ¡Cómo duele!Ouch! That really hurts!
a. oh dear
¡Ay! Me han robado todo.Oh dear! All my things have been stolen.
b. jeez
A word or phrase that is commonly used in conversational speech (e.g., skinny, grandma).
(colloquial)
¡Ay! Me asustaste.Jeez! You scared me.
A masculine noun is used with masculine articles and adjectives (e.g., el hombre guapo, el sol amarillo).
masculine noun
a. cry
Su ay se oyó en todo el recinto.His cry could be heard everywhere.
b. moan
De repente, el perro soltó un ay de dolor.All of a sudden, the dog let out a painful moan.
Copyright © 2025 Dictionary Media Group, Inc.