Mechanically Altered Diet

Swallowing is an action often taken for granted, done without much thought. After a stroke or for someone with a neurological disease, swallowing may be difficult and cause an increased risk of choking. A mechanically altered diet makes it easier to chew and safely swallow food.

Purpose

• A mechanically altered diet is level two of the National Dysphagia Diet. Altering the consistency makes it easier for food to be safely swallowed. The diet also reduces the risk of food going into the lungs through the windpipe or trachea.

Texture

• Food should be of a soft and moist texture. Foods often need to be blended, chopped, ground or mashed. Moisture can be added with gravies, sauces, vegetable or fruit juice or water.

Foods Allowed

• Moistened meat, poultry or fish can be ground and served with sauce to be best tolerated. Pureed or moistened breads and soft cooked cereals are starch options. Soft, well-cooked vegetables and soft canned fruits or ripe bananas are also recommended. Smooth puddings and custards are preferable for dessert.

Foods to Avoid

• Dry meats and large chunks of meat may be difficult to chew and should be avoided. Sliced bread, toast and coarse cereals would also increase the risk of choking. Also avoid canned pineapple and any nuts, seeds, coconut or dry whole grain cereal.

Tools for Preparation

• Blenders, food processors, potato mashers or food choppers are useful on this diet. These tools help to altered the consistency of meats, vegetables, fruits and starches so they will be easier to chew and swallow.