also: ひいこら
adverb
huffing and puffing; groaning; straining
Onomatopoeic adverb describing the sound or state of someone straining physically, often with groans or heavy breathing. Frequently used with verbs like 言う or 言いながら to depict someone complaining or gasping while exerting themselves.
重い荷物を運びながら、ひーこら言っていた。
He was huffing and puffing while carrying the heavy luggage.
階段を上るだけでひーこら言うなんて、運動不足だね。
If you're already groaning just from climbing the stairs, you're out of shape.