Painfully meaning in hindi

How to pronounce Painfully
As noun : कष्टपूर्वक Ex:  Absolutely, Birthing painfully
As adverb :
अप्रीतिकर ढंग से Ex:  He was undoubtedly painfully aware of how he looked
Other : पीडा से Ex:  DRAG also means Pulling, carry with you painfully
Examples
Usage of Painfully in sentences

The word can be used as noun, verb or adverb in hindi and have more than one meaning. 
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