narrow and tight, and so the pressure of being hemmed in: distress, trouble, straits
At its root this word is about space running out. Something narrow is pinched, with no room to move, and the same picture is used for life when it closes in on a person: hardship, danger, and anguish that leave nowhere to turn.
Hebrew lets the physical and the emotional sit in one word. A narrow road, a tight pit, a place so cramped a donkey cannot pass, and then a heart in trouble, a time of crushing pressure, all wear the same label. The senses below sort the plainly spatial uses from the figurative "distress," but they are two faces of one idea, not two different words.
Because the squeeze can be either literal or felt, translators move freely between "narrow," "strait," "trouble," and "distress" depending on the verse. The underlying claim is always the same: room has been taken away.