IDDSI Content
Dysphagia-Friendly Porridge Recipes for Every IDDSI Level
Which porridge suits your IDDSI level — congee, okayu, polenta and more, with official IDDSI testing guidance and free downloads.
Recipes - IDDSI Levels 0–4
Polenta is the most reliable IDDSI Level 4 porridge — stable across temperatures. Dysphagia recipe with spoon tilt test and fortification tips.
Recipes - IDDSI Levels 0–4
Semolina porridge reaches IDDSI Level 3–4 depending on ratio. High-protein, milk-based dysphagia recipe with consistency adjustment guide.
Recipes - IDDSI Levels 0–4
Filipino lugaw reaches IDDSI Level 3 or 4 depending on broth ratio. Full recipe with adjustment guide and IDDSI testing steps.
Recipes - IDDSI Levels 0–4
Chiu Chow congee reaches IDDSI Level 3 at a 10:1 ratio. Full recipe with water ratio guide, fortification options, and IDDSI testing steps.
Recipes - IDDSI Levels 0–4
Japan's traditional sick-day rice porridge naturally reaches IDDSI Level 3 at a 5:1 ratio. Recipe with spoon tilt test and fortification tips.
Recipes - IDDSI Levels 0–4
Uji millet porridge is naturally IDDSI Level 2 — thickener required for Level 3. Recipe with thickening guide and syringe flow test steps.
How ALS progresses to affect swallowing, managing saliva, when to discuss a PEG tube, and energy conservation strategies for mealtimes.
IDDSI Level 7 has two sub-levels — Regular (RG7) and Easy to Chew (EC7). What each means, the fork pressure test, food lists, and when EC7 is right.
The first time I realised medication administration was a clinical problem in its own right — not just a practical inconvenience — was when I was caring for an elderly man with Parkinson's disease and dysphagia who had been crushing his levodopa tablets into his thickened water for months. Nobody
I have sat with a woman who hadn't drunk more than a few sips in three days. Not because she refused thickened drinks — we'd solved that. Not because she couldn't swallow — she could. Because she had dementia, and she had stopped knowing she was
What to eat and drink at IDDSI Level 3 and how it differs from Level 4 . Plus a 7-day family-friendly meal plan.
Download the official IDDSI framework poster, level handouts, and testing cards - free to print and share.
What to eat at IDDSI Level 6 — complete food list, the 15mm rule explained, fork pressure test, and a 7-day family-friendly meal plan.
Complete food list, 4mm size explained in practice, 7-day meal plan, and family meal tips for IDDSI Level 5 minced and moist
Everything you can and can't eat on an IDDSI Level 4 puréed diet — complete food lists, the caloric density problem most guides miss, fortification strategies, and a full 7-day meal plan.
A guide to thickened liquid refusal — why it happens, what actually works, the Frazier Free Water Protocol explained, and when to escalate to the clinical team.
What aspiration pneumonia is, how to recognise it early, and what caregivers can do every day to reduce the risk meaningfully. Includes a prevention checklist and when to seek urgent help.
A professional caregiver's guide to managing dysphagia and dementia together — the behavioural signs families miss, what makes mealtimes safer, when to ask for help, and the emotional reality of caring for someone who can't tell you what's wrong.
A real caregiver's guide to eating out with dysphagia — what to pack, what to order, how to talk to restaurant staff, and how to handle air travel. Written from lived experience.
4 insert-beaker flow-regulating dysphagia cups compared honestly — IDDSI levels, thickened liquid compatibility, clinical validation, and which one suits which swallowing profile.
Warm, gently spiced, and naturally smooth — this recipe is designed to meet IDDSI Level 3 (Moderately Thick) or IDDSI Level 4 (Puréed), depending on how the apple component is prepared.