Meats and Meat Substitutes:
Moist, ground/finely diced meats, poultry, or fish (served with gravy or sauces) Poached, scrambled, or soft cooked eggs. Slightly mashed, moist legumes (baked beans)
Scramble in frying pan or microwave oven until consistency of soft custard; about 1 min. in microwave. 3. Place egg mixture in a blender or processor with white bread; puree to smooth custard consistency, not dry or crumbly.
To Purée is to blend, grind or mash food until it is a thick, smooth, lump-free consistency. A Purée is a food that has the consistency of a soft creamy paste." Scrambled eggs are not a purée, refried beans are not a purée unless completely smooth, chili is not a purée.
These foods include entrees such as pasta dishes, cooked meats, and canned foods (soup, chili, and stews). Some very soft foods like ripe bananas, well cooked potatoes and avocado can be mashed with a fork or masher until smooth. A small amount of liquid may be added to make the food smooth and moist.
Level 4 is puréed foods and extremely thick drinks. Puréed foods don't require chewing, so you should find them easier to swallow. What are puréed foods? Food can be puréed using a blender, liquidiser or food processor, or by being pushed through a sieve.
On a dysphagia soft diet you may eat foods that are soft and moist. Add broth, melted butter or soft margarine, gravy, sauces, milk, or juice to your foods for extra moisture. Foods that are not soft or moist enough may need to be diced, minced, finely shaved, or mashed.
Starchy foods
Other breakfast cereals such as Weetabix soaked in milk are suitable with excess fluid drained off. Avoid cereals with added nuts and dried fruit such as muesli. Banana or other soft fruits can be blended into porridge and other suitable cereals to add variety.
Pureed fruits and vegetables (i.e. smoothie) Pureed soups and broths (no chunks) Pureed meats and casseroles. Pureed soft cereals and oatmeal.
Patients with neuromuscular dysphagia experience gradually progressive difficulty in swallowing solid food and liquids. Cold foods often aggravate the problem.
A dry mouth can make dysphagia worse. This is because you may not have enough saliva to help move food out of your mouth and through your esophagus.
Pasta and pasta dishes such as spaghetti and macaroni and cheese are allowed on mechanical soft diets. Meats in the pasta sauce should be chopped or ground.
Patients with dysphagia have difficulty swallowing oral medications. Swallowing aid foods, such as deglutition aid jellies and food thickeners, are often used to help such patients take oral medications. Yogurt is occasionally used to help swallow medications.
Avoid hard chunks of cheese. Chocolates that are not hard, sticky, gummy or chewy. No nuts, seeds. Brownies, cakes, soft muffins, soft donuts (add moisture to all of these as needed).
Eggs, egg whites, or egg substitutes are also a great source of protein and can be prepared soft or blended into a liquid meal.
Soft-cooked, poached, or scrambled eggs, egg whites, and egg substitutes are also a good choice for a mechanical soft diet. Desserts: Soft cakes, cookies, and custards are allowed as long as they don't have any pieces of candy, nuts, or seeds in them.
They are full of healthy fats and they also provide the nutrients that are used for fighting off diseases. When they are scrambled, eggs are soft and easy to swallow. It is easy to combine pureed vegetables with eggs if you want to add extra nutrients and flavor.
How to Perform: Take a deep breath and keep holding your breath as you place a small bite of food in your mouth and swallow. Then, cough to clear any remnants of saliva or food which may have gone down past your vocal cords. Lastly, exhale. During your first few attempts at the exercise, do not use food.
Try eating smaller, more frequent meals. Cut your food into smaller pieces, chew food thoroughly and eat more slowly. If you have difficulty swallowing liquids, there are products you can buy to thicken liquids. Trying foods with different textures to see if some cause you more trouble.
Some people with esophagitis do well with soft scrambled eggs or egg substitutes. If the esophagus is irritated as a symptom of an underlying illness, or from the treatment of an illness, it is especially important for patients to maintain good nutrition and body weight to regain and stay in good health.
Try breakfast foods like instant oatmeal, grits, pancakes, waffles, and cold cereal that has been softened in milk. For a main dish, try chicken, tuna or egg salad, soups and stews, soft cooked fish, tofu, and meatloaf.
If you're on a puréed food diet, you will eat foods you don't need to chew, such as mashed potatoes and pudding. You can also blend or strain other foods to make them smoother. You can add liquids (such as broth, milk, juice, or water) to foods to make them easier to swallow.