Albert Barnes Commentary Jeremiah 4:19

"My anguish, my anguish! I am pained at my very heart; my heart is disquieted in me; I cannot hold my peace; because thou hast heard, O my soul, the sound of the trumpet, the alarm of war." — Jeremiah 4:19 (ASV)

The verse is best translated as a series of exclamations, in which the people express their grief at the ravages committed by the enemy:

“My bowels! My bowels!” I writhe in pain!
The walls of my heart! “My heart” moans for me!
I cannot keep silence!
For “you have heard, O my soul,” the trumpet’s voice!
“The alarm of war!”