ke.ev denotes experienced suffering, including severe bodily affliction and distress expressed in the heart.

The attested uses present suffering as severe and persistent: it can be described as incurable, unrestrained, or very great, and it can be connected with the heart. Psalm 39:3 occurs in a verse of inward heat and speech, though the translation does not isolate the noun’s contribution there.

1. Experienced suffering and severe distress · dominant

   In Job 2:13 the absolute form occurs where the APB renders suffering that “had grown very great,” while in Job 16:6 the construct form occurs in the statement, “my pain is not restrained.” Jeremiah 15:18 places the construct form in a complaint of unceasing suffering and an incurable wound; Isaiah 17:11 joins it with weakness and describes it as incurable. Isaiah 65:14 locates it in the heart alongside crying out and a broken spirit; Psalm 39:3 places the construct form in a verse the APB renders with inward heat, burning fire, and speech.

   Job 2:13Job 16:6Jeremiah 15:18Isaiah 17:11Isaiah 65:14Psalm 39:3

In the Anselm Project Bible: The APB explicitly uses “pain” in Isaiah 17:11, Isaiah 65:14, Jeremiah 15:18, Job 16:6, and Job 2:13, with surrounding descriptions such as “incurable,” “not restrained,” and “very great.” In Psalm 39:3 it instead renders the verse through inward heat, fire, and speech; That variation does not establish a separate meaning.