1. Unpleasantly
   - painfully

See also: distressing

• sisham
• siskin
• siskiyou lewisia
• Sison
• Sison amomum
• siss
• sissified
• sissiness
• sissoo
• sissu
• sissy
• sissyish
• sister
• sister-in-law
• sisterhood
• sisterlike
• sisterly
• sistership
• Sistine
• Sistine Chapel
• sistrum
• Sistrurus
• Sistrurus catenatus
• Sistrurus miliaris
• Siswati