The journey toward the end of life brings with it various physical and emotional changes, many of which are difficult for loved ones to witness. One particularly unsettling phenomenon is the “death rattle,” a sound that often signals the final stages of life. Though it can be distressing to hear, medical professionals assure that it is a natural part of the dying process.
What Is the Death Rattle?
The “death rattle” refers to a distinct, rattling sound that occurs as a person approaches the final hours of their life. It happens when a dying person can no longer swallow, cough, or clear secretions such as saliva and mucus from the back of their throat. These secretions build up, and breathing patterns change, creating the characteristic sound.
End-of-life care specialist Hospice Nurse Julie describes it as “a collection of a small bit of saliva in the back of the throat that just sounds really bad.” While the sound can be alarming, medical professionals emphasize that it is not painful for the dying person.
What Does It Sound Like?
The death rattle varies in intensity and tone. It can range from a wet, crackling noise to a soft moan or even a loud gurgling or snoring sound. These sounds become more pronounced as the person breathes in and out. Loved ones may interpret it as choking, but medical experts reassure that the dying person is unlikely to be aware of the noise or experience any discomfort from it.
