The best replacement for ouch is ow.

The best alternatives to ouch are rated as following:
★★★★★  ow
★★★★  big time
★★  senator skull
★★  fix
★★  itsy bitsy
★  owe
★  oww
★  itch
★  ouch
★  auch
  ou

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Google Trends

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ouch
ow
big time