Jehoram's illness — the fulfillment of prophecy — 'And after all this the LORD struck him with an incurable disease of the bowels' (ואחרי כל זאת נגפו יהוה בחלי קיבו בלא תרפאות). The phrase 'after all this' (אחרי כל זאת) indicates the cumulative effect — first the territorial losses, then the invasion and capture of family, finally the personal disease. The noun תרפאות (cures, healings) in the negative ('no cures') emphasizes the incurable nature of the condition. This is the second reference to bowel disease (following the Elijah letter); the Chronicler emphasizes the literalization of the prophecy. The disease is presented as divine action ('the LORD struck him,' נגפו יהוה), not natural illness.

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