A person body experiences numerous changes as their life draws to a close, some of which could happen months before they pass away.
But in the last 24 hours, family members might hear the “death rattle,” a familiar and frequently unnerving event.
What is the ‘Death Rattle’?
According to Medical News Today, the “death rattle” is caused by the buildup of secretions in the throat and changes in breathing patterns. Hospice nurse Julie, an expert in end-of-life care, describes the sound as:

“This is simply a small accumulation of saliva in the back of the throat, which may sound more concerning than it actually is.”
Julie also explains that fever is common at this stage:
“As the body nears the end of life, it loses the ability to regulate core temperature, leading to fluctuations. This is a completely normal part of the natural dying process, especially when passing away at home.”
What Does the ‘Death Rattle’ Sound Like?
The “death rattle” happens when a person’s swallowing capacity deteriorates and secretions accumulate in the respiratory system. Many people describe the sound as a “crackling, wet noise” that gets louder as they breathe.
Some people compare it to a louder gurgling sound, while others describe it as a subtle groaning or snoring sound. Even if this is concerning, it’s crucial to remember that the person going through this process is not in any pain or discomfort.
According to research, the average lifespan following the death rattle’s onset is approximately twenty-five hours. However, compared to hospital patients, hospice care recipients typically experience a longer process.
What Can You Do to Ease the ‘Death Rattle Noise’?
Although the “death rattle” is a normal aspect of dying, there are methods to lessen its severity to ease the suffering of people around you:
- To allow secretions to drain, turn the patient onto their side.
- To encourage drainage, lift their head a little.
- To keep their mouth moisturized, moisten it with moist swabs.
- When necessary, remove secretions using suction.
- Limit your fluid intake to avoid producing too many secretions.
- As directed by medical professionals, administer drugs intended to remove secretions.
It’s crucial to realize that even though these steps can lessen noise, they probably won’t completely remove it. Health care providers can help loved ones deal with the circumstance by offering support and answers.
A Natural Process
Family and friends may find the “death rattle” distressing, but it is a natural part of the dying process. Knowing that their loved one is not in pain or person discomfort can offer reassurance.
Understanding this phenomenon can provide clarity and comfort during this difficult time. By staying informed and present, families can focus on providing love and support, ensuring a peaceful transition for their loved one.