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Discover Ludwig"causing him" is correct and usable in written English.
You can use it when referring to something that caused a particular consequence or effect for a person, usually in the past. For example: The sudden bad news caused him great distress.
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But it's causing him some internal problems.
One of his legs is twisted, causing him to limp.
Swallowing became more difficult, causing him to lose weight.
I agonized about the likelihood of causing him pain.
His team's displays will be causing him far more concern.
"The positive thing is, it is not causing him pain".
Think of the embarrassment this is causing him.
One involves Roosevelt's sinuses, which were congested and causing him considerable discomfort.
The man was shot multiple times, causing him to crash his car.
Other, more disturbing, episodes suggested that Routh's experiences in the Marines were still causing him duress.
At a fifth, his mouse slipped, causing him to accidentally fold.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com