In a state of great misery or distress.
अत्यंत दुःखी या कष्ट में होना
English Usage: The wretched conditions in the refugee camp were hard to bear.
Hindi Usage: शरणार्थी शिविर की अत्यंत दुःखी स्थिति सहन करना कठिन था।
atyant dukhi, atyant dukhhi, atyant dukh, atyant dukhii, atyanth dukhhi, atyant dukhkhi