If its making a noise like a washing machine having a bad spin then replace it ASAP. It may not start next time!!. I call this noise "the death rattle" and once you've heard it you will recognise it instantly.
If it has just got progressively noisier during its life it may not require a panic but it is certainly a sign of wear, so back up regularly and replace when you can.
This does not sound good.
Try running a debug on it first. Eitherway I would suggest that you make regular backups and prepare to get a new Drive. Ticking HDD's usually mean that the drive is about to give up.
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