This change to people's skin can be a sign that they are about to die

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By Tom Wood

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Before people die, their bodies undergo a number of changes that are sometimes noticeable. 

Of course, these can vary depending on the condition of the person who is about to die, but there are some common symptoms that many people go through.

One of the most noticeable involves the person’s skin. 

Why do people sometimes get mottled skin before they die?

Mottling, known scientifically as livedo reticularis, is one such common indicator that a person could be about to die, and is one of the more noticeable signs, given how it appears. 

The condition is typically seen during the last week of life, although that isn’t an exact prediction - nor is it necessarily a concrete indicator that the patient hasn’t got long left. 

But what is it?

Don't worry - this condition isn't something that is going to suddenly affect you, or some mystery illness that suddenly develops - it usually affects only those who are already on the cusp of death.

Mottled skin is common in the days before death. Credit: డా. గన్నవరపు నరసింహమూర్తి, CC0, via Wikimedia Commons Mottled skin is common in the days before death. Credit: డా. గన్నవరపు నరసింహమూర్తి, CC0, via Wikimedia Commons

According to Crossroads Hospice: “Mottling occurs when the heart is no longer able to pump blood effectively. 

“The blood pressure slowly drops and blood flow throughout the body slows, causing one’s extremities to begin to feel cold to the touch. 

“Mottled skin before death presents as a red or purple marbled appearance.

“It is most often first seen in the feet, from where it then travels up the legs.”

The end-of-life care facility also pointed out that while this is one sign of impending death, other signs might be apparent too, including changes to breathing, diminishing food and water intake. 

Does mottling hurt?

Contrary to what you might believe from looking at the symptoms, mottled skin does not cause any pain to the patient. 

However, the hospice notes that the patient might feel cold. 

Mottling does not usually cause any pain to the person. Credit: Uva L, via Wikimedia Commons Mottling does not usually cause any pain to the person. Credit: Uva L, via Wikimedia Commons

In this case, as in all cases where end-of-life care is concerned, it is important to try to make the person as comfortable as possible. 

The hospice website added: “Patients’ families are often concerned that mottling is painful for their loved one. 

“You can rest assured that mottling does not cause any pain for the patient, although he or she may feel cold, particularly in the legs and arms. 

“As a caregiver, you can help the patient by covering him or her with a warm blanket and generally being there to address any needs.”

If you are coping with grief, these organizations can provide information and support:

For urgent support, call or text 988 to connect with the Suicide & Crisis Lifeline.

Featured image credit: AAron Ontiveroz/MediaNews Group/The Denver Post via Getty Images