Rabies generally does not cause severe coughing, but in the late stages of the disease, coughing can occur. Eventually, due to spasms and paralysis of the respiratory muscles, some sputum cannot be expelled, which stimulates the respiratory tract to produce more secretions, possibly leading to frequent coughing. The main symptoms of rabies are a distinct fear and restlessness towards water, light, and wind. Rabies ultimately leads to death due to respiratory muscle failure and paralysis of the respiratory system.