| Word | Definitions | Synonyms |
|---|---|---|
| distressfully | (adverb) with distress | - |
| distressingly | (adverb) unpleasantly | Synonyms: painfully |
| downstream | (adverb) away from the source or with the current | Synonyms: downriver |
| obstreperously | (adverb) in manner that attracts attention | Synonyms: clamorously, loudly |
| strenuously | (adverb) in a strenuous manner; strongly or vigorously | - |
| upstream | (adverb) toward the source or against the current | Synonyms: upriver |