As death approaches, you may alternate between periods of rapid
breathing and periods of no breathing. It is not unusual to stop breathing for
over a minute, then take another breath.
As death approaches, your breathing may become moist and congested.
This has been called the “death rattle.” Breathing changes may result from
inflammation of the lungs (pneumonia), a common complication as death
approaches. Breathing changes may also develop when you are weak and are no
longer able to swallow your saliva, which becomes trapped in your airways and
lungs.
Although the noisy breathing may be alarming to your loved ones, you
probably will not have pain or be aware of the congestion. Because the fluid is
often deep in the lungs, even suctioning may not remove it.
Your loved ones or caregivers can turn you on your side to help the
secretions drain from your mouth. Also, your caregivers can remove the
secretions frequently from your mouth with a moist washcloth or a special mouth
swab (available from hospice or purchased at pharmacies).
Your doctor may prescribe oxygen therapy to help relieve your
shortness of breath. Oxygen therapy may help you become more comfortable but
will not prolong your life.