I address people, thinking I'm speaking plainly, and they roll their eyes as if I'm trying too hard or being silly.
"No, I honestly mean my heart bleeds for you."
I dont know a better way to describe what I'm feeling. I'm not just sad or sympathetic; it hurts me that you are hurting. Hence, my heart bleeds.
I could just say, "man, that's a bummer," but that doesn't convey my feeling.