Dysphagia diet Step one (1720)

Key points below

Pureed Foods

What is a dysphagia diet? Nutrition

This diet is used when a child has a hard time chewing or swallowing foods.  It is a 3-step diet that adds textures a little at a time as chewing and swallowing improve. 

The foods in this diet are made in a blender. Liquids such as milk, juice, sauce, or gravy are used to make a pureed consistency. No chewing is needed and foods stay together in the mouth. 

Child may have the liquid that is circled:

**Items in bold may not be allowed if child needs thickened liquid. Ask your speech language pathologist.


Pureed pancakes, pureed French toast, pureed plain muffins, pureed corn muffins.  You may need to add liquid, like syrup, butter or milk to make these foods moist. 


Smooth cooked cereal, like cream of wheat, baby rice or oatmeal.


Pureed beef, poultry, veal, or pork, pureed blended casseroles, pureed pizza, pureed peanut butter and jelly sandwich, pureed macaroni and cheese, pureed cottage cheese.  Foods may need to be moistened with broth, milk or gravy to avoid very thick, sticky texture. Do not puree foods that are fried or very dry.

Potato/potato substitute

Pureed pastas with gravy, butter, margarine, alfredo, or marinara sauce, slightly thinned pureed mashed potatoes with gravy, margarine or butter.


Pureed vegetables. Tomato sauce or tomato juice as tolerated.


Pureed peeled fruit: bananas/pears/peaches/applesauce. May need to be thickened with unflavored gelatin or commercial thickener.   Avoid fruits that have seeds such as strawberries. 


Pureed cottage cheese, smooth yogurt without fruit pieces, milk. Milk may be used in cooked cereal or mashed potatoes.


Smooth pureed soups or broths.


Pudding, milkshakes, ice cream, popsicles, sherbet.


Butter, margarine, gravy, cream, sour cream


Salt, pepper, ketchup, mustard, salad dressings, sugar, jelly, honey.

Sample menu




Morning snack

Afternoon snack

Evening snack

For other health and wellness information, check out this resource: https://kidshealth.org/ChildrensWi/en/parents


Call your child’s doctor, nurse, or clinic if you have any questions or concerns or if your child has special health care needs that were not covered by this information.