When a person is close to dying, their body goes through many changes. Some start months earlier, but in the last day of life, family members may notice a strange and upsetting sound called the “death rattle.”
What is the “death rattle”?
Medical News Today explains that it happens because breathing changes and saliva builds up in the throat. Hospice nurse Julie says the sound may seem scary, but it’s simply a small amount of saliva at the back of the throat that just sounds worse than it really is.
Julie also explains that fever is common at this stage. As the body shuts down, it can no longer control its temperature, so the person may feel hot or cold. She says this is normal and part of the natural dying process, especially when someone is passing away at home.
What does the “death rattle” sound like?
The sound happens because the person can no longer swallow well, so saliva builds up in the airways. It often sounds like a wet, crackling noise that becomes louder as they breathe.
Some people say it sounds like soft groaning or snoring, while others hear a stronger gurgling sound. Even though it can be disturbing to hear, the person is not in pain or feeling uncomfortable when this happens.
Studies show that after the death rattle begins, people usually live for about 25 more hours. This stage often lasts longer for those in hospice care than for patients in a hospital.
What can be done to reduce the death rattle sound?
Even though the death rattle is a normal part of dying, there are ways to make the sound quieter and less upsetting for loved ones:
- Gently turn the person onto their side so fluids can drain
- Slightly raise their head to help with drainage
- Keep their mouth moist using damp swabs
- Use gentle suction if needed and advised
- Reduce how much fluid they take in to limit buildup
- Give medications that help dry up secretions, if prescribed by a healthcare provider
These steps help make the situation more comfortable for everyone present.
It’s important to know that these steps may make the sound softer, but they usually won’t make it go away completely. Doctors and nurses can explain what’s happening and help family members handle the situation.
A natural process
The “death rattle” can be upsetting to hear, but it is a normal part of dying. Family and friends can find comfort in knowing the person is not in pain or suffering.
Learning about this can help bring peace and understanding during a hard time. By staying informed and being there, families can focus on giving love and support as their loved one passes calmly.
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