All About The Dysphagia Diet

By Kimberly Olson


It goes without saying that food is a necessary sustenance. However, what is not often factored in is that conditions may occur in which the process of chewing, swallowing, and digesting do not work out as they should. Medical professionals have pinpointed up to at least five levels of this condition, and they all have their according dysphagia diet.

The standard diet plan for dysphagia has at least three levels. At the first you have the pureed foods, which have pudding like consistencies, like mashed potatoes with gravies, soups, and some such. Secondly, there are the moist foods, which are mashed, soft, with a thicker consistency than the first. The third level is a composite of soft solid foods, like fruits, meat, and vegetables.

A pureed diet is the most generally recommended for dysphagia. That means the comestibles should be soft, smooth, cohesive, and homogeneous. The difficulties may lie in meeting the adequate nutritional needs, like calories, proteins, and some such. There are also the mechanical soft foods, which are accordingly mashed, chopped, ground, blended, and whatnot. Soft diets include cooked vegetables, tender meat, hot cooked cereals, soft cheeses, ice cream, et cetera. If none of those make the cut, a patient may have to opt for thickened liquids like broth based soups and others.

You can identify dysphagia through such symptoms like drooling, leaking, gagging, or choking right after meals. They also take longer than usual in swallowing food, often capturing or pocketing it in the cheeks. All in all, patients have poor chewing ability. When the according texture of food is factored in, then it is essentially safer and easier for patients to swallow.

There are many telltale symptoms to look for in this regard. For instance, one may be coughing, drooling, or choking after meals, used to pocketing food in the cheek pouches, cannot suck from a straw, unintentional weight loss, gurgling voice, and nasal regurgitation. While esophageal contends more with solids, pharyngeal finds liquids more of a problem.

Liquids and solids are evaluated differently from each other. Both have categorizations in thickness. Level 1 are pureed, and they are always pudding like in consistency, cohesive, and also homogenous. The second is called mechanical altered, and the foods in this category are semisolid, but still moist and cohesive. Level 3 is advanced, and this one has less restrictions, though the food must still be soft.

When you are on the course of the diet, the topnotch concern is getting adequate nutrition. All the more, you are juggling this considerable task with preventing complications of aspiration. The specialized diet can be very demanding by itself. As said, there are five different levels of diet, that which you must choose based on the recommendation of your physician. The first level is pureed while the fifth one is regular food, modified at the slightest extent.

The slightest differences have to be factored in, since there are considerations like textures, consistency, and thickness. Perhaps liquid, solid, thin, or bite sized food is required. There are challenges that are specific to each patient, and they may require different measures to fix and solve. Nutrition should also be assured. Since you are also taking to account the taste and preferences of the patient, it would also do to be creative, such as in making the food as tasteful and prepossessing as possible.

The food that can be eaten, where generalities are considered, are pureed breads, meats, fruits, soups, and soft vegetables. There are also smooth puddings, yogurts, desserts, custards, and some such. On the other hand, one should generally take care to avoid non pureed comestibles, lumpy cereals, whole fruits, eggs, seeds, nuts, and just about any hard, chewy, dry, or crunchy food. Foodstuff may have to be accordingly thickened or thinned.




About the Author: