A
death rattle, known clinically as
terminal respiratory secretions or simply
terminal secretions, is a sound often produced by someone who is near death when fluids such as
saliva and
bronchial secretions accumulate in the throat and upper chest. Those who are
dying may lose their ability to
swallow and may have increased production of bronchial secretions, resulting in such an accumulation. Usually, two or three days earlier the symptoms of death can be observed as saliva accumulates in the throat, making it very difficult to take even a spoonful of water. Related symptoms can include
shortness of breath and rapid chest movement. While death rattle is a strong indication that someone is near death, it can also be produced by other problems that cause interference with the swallowing reflex, such as
brain injuries.