There Is One Sound A Person Makes That

What Is the ‘Death Rattle’?

As a person nears the end of life, the body goes through many natural changes. One common sign in the final 24 hours is the “death rattle”—a sound caused by saliva and fluids collecting in the throat due to weakened swallowing. Hospice nurse Julie explains, “This is just a collection of a small bit of saliva in the back of the throat that just sounds really bad.”

What It Sounds Like

The death rattle often sounds like a “crackling, wet noise” and can grow louder with each breath. Others compare it to gurgling, groaning, or even snoring. Despite how unsettling it may sound, the person experiencing it usually isn’t in pain. Research shows that once the death rattle begins, life expectancy averages about 25 hours. “We lose the ability to control the core temperature, so our temperature will fluctuate at the end of life,” Julie adds, noting that fever is also normal during this time.

Managing the Noise

Though it can’t usually be stopped, there are ways to reduce the noise for the comfort of loved ones:

• Turn the person onto their side.

• Slightly raise their head.

• Keep their mouth moist with swabs.

• Use suction to remove fluids, if needed.

• Limit fluid intake to reduce secretions.

• Use prescribed medications to dry up secretions.

A Natural Part of Dying

While the death rattle can be distressing to witness, it’s a natural part of dying. Knowing the person is not suffering can offer peace of mind. Understanding what’s happening allows families to focus on being present and offering love during the final moments.