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Dysphagia: Dysphagia Pureed HF#458

What is a pureed diet?

A pureed diet consists of foods with a “pudding-like” texture.  Food is smooth and moist and should not be runny or sticky.  There should be no lumps, no chunks, no seeds, and no pulp.  It is easy to swallow, does not need to be chewed, and is easy for you to control in your mouth.  Foods should not be coarse, dry, crunchy, sticky, or chewy. 

 

Why is a Dysphagia Pureed diet safer for me?

Your doctor suggests a pureed diet 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.  Eating a pureed diet and having someone with you as you eat will help you to protect your airway.  If problems occur you will have help right away.

 

Food Groups

Safe Foods

Foods to Avoid

Thin liquids,

 if allowed

Milk Products

  • Smooth yogurt        
  • Smooth cottage cheese

Tip: Use a blender to make smooth.

Yogurts with fruit chunks; firm cheeses

 

Meat and Protein

  • Pureed meats, poultry, or fish mixed with milk broth or gravy
  • Smooth hummus
  • Smooth casseroles
  • Smooth soufflés
  • Softened tofu
  • Braunschweiger

Tip:  Use a blender with some added liquid to make smooth

Eggs, peanut butter, Junior baby foods, nuts

 

Vegetables

  • Pureed cooked vegetables.
  • Strained baby food vegetables
  • Mashed potatoes with gravy
  • Tomato paste or sauce

Raw vegetables,

Junior baby foods, runny purees

Tomato or vegetable juice

Fruits

  • Pureed fruits
  • Strained baby fruits 
  • Smooth applesauce
  • Well-mashed fresh bananas

Raw fruits, canned whole fruits, dried fruits

 

Breads, Cereals, Starches

  • Hot cereals with “pudding-like texture” (cream of wheat, cream of rice, malt-o-meal; should not be runny)
  • Smooth oatmeal

Breads, rolls, buns, biscuits, muffins, crackers, dry cereal, pancakes, French toast, pasta, rice, old fashioned oats

Milk or cream with cereals, well blended

 

 

Let’s stop talking about food for a minute because I want real food!

The food on the Dysphagia Pureed menu is “real food”, but the texture has been made real smooth.  Right now your body is showing signs that you are safer swallowing smooth foods that are pudding consistency.  This will give you practice swallowing so you can move on to the next level of the dysphagia diets. Let’s continue the food tables.

 

Food Groups

Safe Foods

Foods to Avoid

Thin liquids,

 if allowed

Soup

  • Smooth, pureed, and strained soups and served at the right thickness.

Tip:  Soups may need to be thickened

 

Broth and other thin, strained soups

Desserts

  • Smooth puddings
  • Smooth custards
  • Smooth soufflés
  • Magic Cup

Popsicles, gelatin,  frozen desserts, cookies, cakes, pies, textured pudding

Malts, milk shakes, eggnog

Beverages

  • Smooth drinks served at the right thickness

 

Tip:  Drinks may need to be thickened.

 

Milk, juices, coffee, tea, sodas, water,  carbonated beverages, alcoholic beverages, nutritional supplements, ice chips

Other

  • Butter or margarine
  • Strained gravies and smooth sauces
  • Sour cream
  • Whipped topping
  • Salt, pepper, herbs, spices
  • Catsup, BBQ sauce, mustard
  • Honey, smooth jellies, and syrup
  • Sugar and artificial sweetener

Cream cheese, candy, sticky foods, horseradish, chili sauce

 

  

Website with recipes for liquid foods:  http://www.lucysrealfood.com/ 

 

"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."

This diet is similar to the NDD1-Dysphagia Pureed Diet. 

 

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
UW Health East Clinic
Nutrition Clinic Room 2106
5249 East Terrace Drive
Madison, WI  53718
(608) 265-7405 appointments

 

American Family Children’s Hospital, 1675 Highland Ave, Madison, WI 53792
  Pediatric Specialty Clinics - Nutrition (608) 890-8298 or 263-6420 appts


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#458

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