Follow Your Swallow

Common questions

Why are cereal with milk and brothy soup a problem on texture-modified diets?

They are “mixed consistencies” — a solid and a thin liquid in the same mouthful. The liquid races ahead while the solid still needs chewing, which is exactly the situation most likely to cause aspiration. Most texture-modified diets exclude them unless the SLP specifically allows them.

Common offenders: cereal with milk, brothy soups with pieces, fruit cups in juice, and bread soaked in soup.

The fix is usually to serve one consistency at a time: strain and thicken the liquid to the prescribed drink level, and serve the solids at the prescribed food level.

Remember: we never recommend a diet level. Serve only what matches the IDDSI level prescribed by your speech-language pathologist.