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painful; difficult; tough; hard
distressing; (psychologically) difficult; stressful; awkward (e.g. position)
straitened (circumstances); tight (financial situation); needy; struggling
strained (interpretation, explanation, etc.); lame (e.g. excuse); forced (e.g. smile); far-fetched
hard to do; unpleasant
生活が苦しくて困っています。
Life is difficult and I am troubled.
苦しい立場に追い込まれた。
Cornered into a difficult position.
息が苦しくなったので病院に行った。
I went to the hospital because breathing was painful.