en_tn_condensed/isa/21/03.md

my loins are filled with pain

The vision that Isaiah sees is so troubling it causes him physical pain. Here he describes the pain and cramping in the middle part of his body.

pains like the pains of a woman in labor have taken hold of me

Isaiah compares his pain to the pain of a woman giving birth. This emphasizes the great pain he is feeling. (See: rc://en/ta/man/translate/figs-simile)

I am bowed down by what I heard

This can be stated in active form. Alternate translation: "What I heard has caused me to bend over in pain" (See: rc://en/ta/man/translate/figs-activepassive)

I am disturbed by what I saw

This can be stated in active form. Alternate translation: "what I saw has greatly troubled me" (See: rc://en/ta/man/translate/figs-activepassive)