The “death rattle” is a strange, wet rattle that can occur when someone is close to death. This sound, while distressing to hear, is actually a natural part of the dying process and not a sign that the person is suffering.
As the body weakens, the swallowing reflex fades, so saliva and mucus build up in the throat. When breathing, air passes over this collected fluid and causes the death rattle sound. Nurse Julie McFadden describes it as a peaceful biological lullaby, not a sign of discomfort.
For families, this noise can be frightening and often comes as a shock if no one explains what it means. Sometimes healthcare providers give medications to help quiet the sound for the loved ones, since it doesn’t bother the dying person.
Trying to suction the mucus isn’t helpful and can actually make things worse by producing more saliva.
Usually, once this rattling starts, the person has less than 24 hours left. However, they are generally deeply asleep and not in pain.
During these final hours, holding your loved one’s hand and expressing your feelings can offer great comfort. Understanding the death rattle helps lighten the fear of this final stage and brings a sense of calm to those present.
