Resh.
20. bowels … troubled—(Job 30:27; Isa 16:11; Jer 4:19; 31:20). Extreme mental distress affects the bowels and the whole internal frame.
heart … turned—(Ho 11:8); is agitated or fluttered.
abroad … sword … at home … as death—(De 32:25; Eze 7:15). The "as" does not modify, but intensifies. "Abroad the sword bereaveth, at home as it were death itself" (personified), in the form of famine and pestilence (2Ki 25:3; Jer 14:18; 52:6). So Hab 2:5, "as death" [Michaelis].