Easy to Chew IDDSI Level 7
Easy to chew solids may be recommended by your doctor or speech language therapist for a variety of reasons including, but not limited to: prolonged chewing, pain while chewing, missing teeth or dentures, altered mental status, weak tongue or throat muscles resulting in residue with solid food.
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Images courtesy of www.iddsi.org, © The International Dysphagia Diet Standardisation Initiative 2019 @ https://iddsi.org/framework. Licensed under the CreativeCommons Attribution Sharealike 4.0 License https://creativecommons.org/licenses/by-sa/4.0/legalcode. These are NOT official IDDSI resources, educational materials or education programs and they are NOT meant to replace materials and resources on www.IDDSI.org.
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Food Group
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Foods Allowed
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Foods Excluded
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Beverages
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No restriction unless otherwise recommended by Speech Therapy
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Cereals, Breads and Grains
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Rice
Pasta
Potatoes
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Hard dry cereals
Bread
Crackers
Chips
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Vegetables
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Soft, well cooked vegetables
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Raw vegetables (raw carrots, celery, raw broccoli)
Stringy vegetables
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Fruit
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Banana
Applesauce
*Canned and well-cooked fruits
Ripe fresh fruits that are tender
*Some canned or fresh fruits may be excluded if Speech Therapist recommends no mixed consistencies
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Pineapple
Raw hard fruit (apples, rhubarb)
Dry fruits
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Meats and Meat Substitutes
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Tender, well‐cooked meats, poultry, fish, and soy
Chicken, tuna, or egg salad
Scrambled eggs
Yogurt without nuts or coconut
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Dry tough fibrous meats (sausage casings, bacon, jerky)
Steak
Meats with gristle
Nut butters
Fried eggs
Yogurt with nuts or coconut
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Fats
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Butter, margarine
Smooth gravy/sauce
Sour cream
Mayonnaise
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Fats with coarse, difficult to chew or chunky additives (peanut butter)
Nuts, seeds
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Desserts
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Pudding, custard
Smooth yogurt
Mousse, smooth souffles
Ice cream/popsicles are ok if you are cleared to drink thin liquids
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Cakes
Cookies
Pies
Anything with nuts, coconut, or dried fruits
Marshmallows
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Sugar and Sweets
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Jelly, smooth jams
Sweeteners
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Candy containing tough fruits or nuts
Hard candy
Gummies
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