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Dysphagia: Dysphagia Minced HF#457

Nutrition




 



What is a minced diet?

A minced diet consists of any food on the pureed diet plus meats and veggies that have been cut up or minced into very small pieces.  The pieces should only be one-eight-inch in size or smaller.  Please see the picture below.  All foods should be moist and easy to swallow.   You will need to avoid rice, bread, and foods like soups that contain mixes of liquids and solids.

 

Why is a dysphagia minced diet safer for me?

This diet is designed to help prevent food from “going down the wrong pipe”.  As the result of a stroke, injury, or disease some people have problems safely swallowing.  This is known as dysphagia.  This diet is the next step in moving from pureed food to food that is more solid and like the food you used to eat.  Minced foods are moist with very small pieces of meat or veggies that do not need a lot of chewing and are easy to swallow. 

 

Food Groups

Safe Foods

Foods to Avoid

Thin liquids

(if allowed)

Milk products

  • Yogurt (smooth or fruited)
  • Cottage cheese

Firm cheese

 

Meat and Protein

  • Ground or minced (1/8 inch or less)
  • Tender cooked meat and poultry moistened with thick sauces or gravy
  • Pureed fish
  • Moist pureed casseroles
  • Tuna or egg salad without crunchy ingredients
  • Poached, scrambled, or soft cooked eggs
  • Soufflés
  • Tofu

Smoked meats, cold cuts, sausage, nuts, wieners, fried, hard cooked, or runny eggs, sandwiches with bread, peanut butter

 

Vegetables

  • Finely minced or pureed soft well cooked vegetables
  • Mashed potatoes
  • Winter squash

Raw, fried or crisp-cooked vegetables, corn, peas, pickles,  asparagus, lettuce, salads, Cole slaw cooked legumes

 

 

How to Prepare Minced Meat and Vegetable:

All food must be in pieces that are no larger than 1/8 inch.

  1. Cut pieces of meat and vegetables into small pieces and run knife through food repeatedly in one direction. 
  2. Rotate 90 degrees and run knife repeatedly through the food again until all pieces are less than 1/8 inch.

If you prefer, you may mince using a food processor.  Make sure no pieces are larger than 1/8 inch.

 

 

 

 

Food Groups

Safe Foods

Foods to Avoid

Thin liquids

(if allowed)

Fruits

  • Pureed fruits
  • Soft well mashed bananas
  • Applesauce

Canned or cooked whole fruits, raw or dried fruits, fresh or canned pineapple, skins or seeds

Thin fruit juices, watermelon without seeds

Breads, Cereals, and Starches

  • Cream of wheat, cream of rice, malt-o-meal
  • Oatmeal that has been put in a blender and becomes “pudding-like”
  • Soft pasta or rice in a sauce that has been put in a blender

 

Breads, fried breads, rolls, buns, muffins; pancakes, French toast, and toast, minced rice or pasta without sauce to hold it together  brown or wild rice, dry cereal, crackers, popcorn, chips, pretzels, French fries

Milk or cream for cooked cereal 

 

Why can’t I have bread?

Bread forms gummy little balls that get stuck in your throat and are hard to swallow.  They can even make it difficult for you to breathe.


 

Food Groups

Safe Foods

Foods to Avoid

Thin liquids

(if allowed)

Soup

  • Cream soups that have been put in a blender
  • Broth soups that have been strained or put in the blender
  • Plain broth

Regular soups that have both solids and liquids

 

Desserts

  • Pudding
  • Custards
  • Rice pudding

Popsicles, gelatin, bread pudding, cakes,  pies, cookies,  desserts with nuts, seeds, sticky caramels, or dried fruit

Ice cream, ices, sherbet, sorbet, malts, milk shakes, frozen yogurt, eggnog

Beverages

  • All beverages that are a safe liquid thickness for you.

 

Tip:  Beverages may need to be thickened.

Juices with pulp

Milk, juice, coffee, tea, soda, carbonated beverages, alcoholic beverages, ice chips

Other

  • Butter, margarine, oils, vegetable shortening
  • Salad dressings, vinegar, mayonnaise
  • Gravy
  • Sour cream
  • Whipped topping
  • Salt, pepper, herbs, spices, catsup, BBQ sauce, mustard
  • Honey, smooth jellies, molasses
  • Sugar or artificial sweetener
  • Syrup

Seeds, nuts, coconut, sticky foods, hard or  chewy candies

Nutritional supplements

 

Adapted from the American Dietetic Association Nutrition Care Manual:  National Dysphagia Diet Task Force. National Dysphagia Diet – Standardization for Optimal Care. Chicago, Ill: American Dietetic Association; 2002:10-12.

 

If you would like to make an appointment or are a UW Health patient with more questions please contact UW Health at one of the phone numbers listed below.

 

 

University Station
Nutrition Clinic Room L33
2880 University Avenue
Madison, WI  53705
(608) 263-4360 appointments
(608) 263-5012
UW Health West Clinic
Nutrition Clinic Room 1296
451 Junction Road
Madison, WI  53717
(608) 262-9181 appointments
(608) 265-7526
UW Health East Clinic
Nutrition Clinic Room 2106
5249 East Terrace Drive
Madison, WI  53718
(608) 265-7405 appointments
(608) 265-0963

 

American Family Children’s Hospital, 1675 Highland Ave,

Madison, WI 53792  

Pediatric Specialty Clinics - Nutrition (608) 890-8298 or

263-6420 Appointments



The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.

Last Updated: 08/14/2012

Copyright © 06/07/2012 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#457

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