This verb means to be in distress or to cause distress, appearing in Lamentations 1:20's poignant cry of personified Jerusalem. The context is intense anguish—'my stomach churns, my heart is turned within me, for I have been very rebellious.' The verb can function transitively (causing distress) or intransitively (being distressed). Here Jerusalem experiences overwhelming distress, both emotional and physical, acknowledging this suffering as consequence of rebellion. The term conveys constriction, being pressed into narrow straits with no room for relief.