1. Unpleasantly
   - painfully

See also: distressing

• purposefulness
• purposeless
• purposelessly
• purposelessness
• purposely
• purposive
• purpura
• purpura hemorrhagica
• purpurate
• purpure
• purpureal
• purpuric
• purr
• purse
• purse seine
• purse string
• purse-proud
• purse-string operation
• purser
• purslane
• purslane family
• purslane speedwell
• pursual
• pursuance
• pursuant