A deep, overwhelming urge to speak can create a physical sensation of pressure, as if unsaid thoughts are demanding immediate release. The speaker experiences an intense inability to remain silent, feeling entirely overflowing with words [מצודת ציון]. Having prepared a massive amount of clever arguments and thoughtful responses in advance, he is now completely full of them [מלבי״ם].
This buildup creates a profound feeling of distress and suffocation [מצודת ציון, רלב״ג]. On a metaphorical level, it is as though the very space inside him is too narrow to contain the sheer volume of gathered words, a poetic exaggeration of his immense internal burden [מצודת דוד, מצודת ציון]. Emotionally and intellectually, this pressure stems from a fierce desire to finally respond to the arguments that have been presented [רלב״ג]. The inner turbulence is driven by stormy thoughts and powerful emotions [ביאור שטיינזלץ]. Another perspective suggests that an intelligent spirit dwells directly within the words themselves, actively fighting to break out and be heard [מלבי״ם].
Furthermore, this overwhelming sensation can be understood as a fundamental part of the speaker's character. Whenever he becomes filled with ideas, he simply cannot hold them back. The mounting internal pressure forces him to speak his mind immediately, making it impossible for him to contain his thoughts [אלשיך].