with difficulty

Her condition deteriorated towards the end of her life, leaving her in extreme pain and with difficulty swallowing.

Thankfully, both the photographer and I overcame our diseases, with difficulty, and we survived.

I reached the lower floor with difficulty, shouting for them.

In a video shared by Russian authorities, Hubbard can be seen walking with difficulty inside the defendants' glass box in the courtroom where he was sentenced on Monday.

She moves with difficulty, as if awaking from a long slumber.