RichTestOrg_en_tn/2ch/21/18.md

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Yahweh struck him in his intestines with an incurable disease

Here "struck" is an idiom that means Yahweh caused him to be sick. Alternate translation: "Yahweh caused him to suffer from an incurable disease in his intestines" (See: rc://en/ta/man/translate/figs-idiom)