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The "railings" that you are referring to are properly known as rales. Rales is the medical term used for a rattling, crackling or clicking sound heard in the lungs with a stethoscope, while the patient breaths. These sounds are almost always heard while the patient is breathing in, as opposed to wheezes, which are usually heard when the patient breaths out.

Hearing rales most often indicates infection or other disorder that causes fluid accumulation in the lower part of the lungs. Asthma, on the other hand, is characterized by wheezes, though it too can be accompanied by rales in certain cases.

My advice - always get a clarification from your physician the moment you don't understand something!

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14y ago

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