David sinned, the details of which are not specified in this penetrative petition. The results are his guilt overwhelms him, God disciplines him in his wrath, and he is physically suffering. Many reasons for physical illness and pain exist including because of God’s wrath. God disciplines his children in many ways including retribution for sin with illness. Guilt can reside whether one committed an ill act or not. Proper guilt results in repentance, forgiveness, and reconciliation. After all, this is the reason God disciplines the ones he loves with piercing arrows and a heavy hand. A fear of God can keep me from experiencing God’s heavy hand more so than love for God. Therefore, fear God’s discipline enough to live a healthy life.