/Our services (A to Z)/Speech and Swallowing team (adults)/I need more information on swallowing problems/Food and drink texture changes
Food and drink texture changes
After assessment it might be suggested that you need to change how food is prepared (for example, made softer). These textures follow international guidelines to reduce choking and aspiration risks.
See our food texture information page, for more information about food texture levels.
Why use thickened drinks?
If swallowing is unsafe, your SLT may recommend thickened drinks. Thicker drinks move slower, which can make them safer and more comfortable to swallow.
How to use a thickener (for example, resource thicken up clear)
- Measure 200ml of your drink (for example, water, tea, juice)
- Add the correct number of flat scoops of thickener to a dry empty cup (as advised by your SLT)
- Pour the drink over the powder
- Stir straight away until fully mixed
- Let it stand:
- 1 minute for water, tea, coffee
- A few minutes for juice or milk
Important
Check consistency before serving if made in advance. Ask your speech and language therapist if you take supplements, they may need different thickening methods.
Other recommendations for safer drinking may include:
Positioning
- Sit as upright as possible when drinking, ideally in a chair
- Avoid tipping your head back to swallow
How to take your drink
- Take small mouthfuls
- Take one sip at a time
- Take a rest from drinking if needed
Eating and drinking together
- Try not to mix mouthfuls of food and drink together
- Don’t drink if you’re feeling too tired or unwell, wait until later
Reducing distractions
- Avoid distractions such as TV or talking while drinking
Equipment
- Don’t use spouts or straws unless they’ve been specifically recommended