Death Rattle: What is it and What Does It Mean?

Death rattle is a sign that death is near for someone who is seriously ill or has a terminal condition. Also known as terminal restlessness, the death rattle is a sound that is made when fluid, mucous, and saliva build up in the throat and are then expelled into the air. While it is a symptom of dying, the death rattle does not cause harm and cannot shorten life expectancy.

What Causes Death Rattle?

Death rattle is caused by the natural dying process. As a person nears the end of life, muscles that control swallowing and breathing start to weaken, leading to the accumulation of fluids, mucous, and saliva in their throat and airways. A person’s weakened state may be further compounded by dehydration, which can thin out secretions and make it easier for them to pass easily through the mouth and nose.

When a person’s throat and airways are full of fluid and mucous, breathing becomes difficult, so the individual may struggle to take in air and expel the fluids through the mouth and nose. This can lead to a rattling sound, commonly referred to as death rattle. While the sound may be unnerving for family and loved ones, it is not a sign of discomfort for the person who is dying.

What is the Treatment for Death Rattle?

Death rattle is a natural symptom of dying and cannot be prevented. However, there are some ways to make the person more comfortable during this time. For example, an ice chip placed in the person’s mouth can provide cooling relief, as can a cold compress against the forehead or back of neck. Family and loved ones may also offer gentle reassurance and comfort to the person who is dying. Additionally, suctioning or suctioning with gauze can sometimes help to clear the airway of fluid, mucous, and saliva, which may reduce death rattles.

Conclusion

Death rattle is a symptom of death that occurs when fluid, mucous, and saliva accumulate in the throat and airways of a seriously ill or dying individual. While the rattling noise can be unnerving for family and loved ones, it is not a sign of discomfort for the person who is dying. Treatment for this symptom is usually limited to providing comfort and reassurance and may include suctioning of the airways.