trouble;  hardship;  difficulty;  anxiety;  worry;  concern
 hard fight;  close game;  struggle;  tight contest
 absurd;  unreasonable;  extreme;  senseless;  disorderly;  chaotic
 nonsensical;  unreasonable;  awfully;  extremely;  disorder;  confusion
 complaint;  troubles;  objection;  grievance
 suffering;  distress;  hardship;  trial
 pains;  hard work;  effort;  trouble;  labour;  labor
 difficult situation;  adverse circumstances;  predicament;  trouble;  dilemma;  distress
 penance;  austerities;  mortification;  asceticism
 candid advice;  frank advice;  honest opinion;  exhortation;  harsh but honest advice
 to be bothered (by something);  to suffer
 labor;  labour;  toil;  hardship
 absurd;  unreasonable;  extreme;  senseless;  disorderly;  chaotic
 pleasure and pain;  joys and sorrows
 self-supporting student;  working student
 toil;  drudgery;  penal servitude;  imprisonment (with hard labour)
 unremitting effort;  dogged perseverance;  unswerving loyalty
 working one's way through school;  earning one's own school fees;  studying under adversity;  studying in harsh economic circumstances
 hardships of poverty;  serious poverty
 bitter experience (ordeal)
 triple handicap (esp. blindness, deafness and mutism)
 the four kinds of suffering (birth, old age, disease, death)
 laborious composition;  struggling to compose a poem
 terrible pain;  terrible hardship;  terrible suffering
 suffering pain;  experiencing hardship
 double torture;  double pain;  double hardship;  double whammy
 inevitability of death (one of the four kinds of suffering);  death pains;  agony of death
 after pleasure comes pain;  there is no pleasure without pain;  there is no rose without a thorn;  take the good with the bad
 crumpled;  wrinkled;  crinkled;  creased
 the pain of separation from loved ones
 no pain, no gain;  no cross, no crown
 magnesia;  magnesium oxide
 bitter tea;  low-quality tea
 suffering caused by the cold
 coldest time of the year;  bitter suffering
 filled with numerous sufferings
 one cannot have pleasure without pain;  no pain, no gain
 there's no pain without pleasure, and there's no pleasure without pain
 numerous sufferings;  suffering of many people
 numerous sufferings;  suffering of many people
 numerous sufferings;  various kinds of suffering