I've had arachnophobia (spiders). It feels like an intense, paranoid, startling horror which demands visual attention and quick jumping away of the body. If I know there's a spider nearby, I must be able to see it from a safe distance.
I have trypophobia (holes). It feels like my skin is crawling, like I'm being eaten alive from the inside, like my very essence of being is being violated by some cosmic plague, commanding me to look away and get as far away from the holed object as possible -- though without excessive urgency.
I can look at many things I dislike; many things I know for fact are dangerous. I can't look at certain kinds of clusters of holes.
Please don't feel obliged to answer this, but - is it only biological-looking pictures that trigger this? Or do you get it from clearly non-biological things (eg. security mesh, ventilation grills, cheesegraters) as well?
You really don't encounter something that satisfies all of these naturally very often. Pretty much never. But it doesn't have to be "biological", it can be bread or plastic or anything else.