Using thickened liquids for safer swallowing (2024)

Thickened liquids give you better control of the liquid in your mouth. They help slow down the flow rate of liquids, which lessens the chance of liquid going into your airway or “going down the wrong pipe.”

Liquids that go into your airway end up in your lungs. Liquids in your lungs can cause pneumonia or a lung infection.

Thickeners are widely available

You can find gels, powders, or natural thickening agentsonline or at your local pharmacy or medical supplier. Thickener brands include:

  • Thick & Easy
  • Thick-It
  • ThickenUp
  • Simply Thick
  • Thik & Clear

Liquids that may need thickening

Some liquids are naturally thicker, others will need a thickener to get to the consistency that's easiest for you to swallow. Both hot and cold drinks can be thickened.

You'll likely need to thicken:

  • Water
  • Milk
  • Fruit juice
  • Soft drinks
  • Tea
  • Coffee
  • Commercial supplements, such as Ensure*

What does it taste like?

Most drinks can be thickened without changing the taste. The change in consistency, though, may take some getting used to.

There are different levels of thickness

Your health care team may have suggested a recommended thickness for adjusting thin liquids. Here is a standard range of thicknesses.

  • Thin liquids, such as water, coffee, or tea,run quickly through the prongs of a fork and leave little or no coating.
  • Nectar thick liquids, such as maple syrup or tomato juice, coat a fork and quickly sink through the prongs.
  • Honey thick liquids, the thickness of honey, coat a fork and slowly sink through the prongs.
  • Pudding thick liquids, the thickness of pudding, remain on a fork and hold together well.

Try making your own thickener

Soup broths and other flavored liquids can be thickened with household ingredients, such as:

  • Baby cereal
  • Instant potato flakes
  • Pureed baby food
  • Blended fruit
  • Corn flour

It's more complicated using one of these thickeners, since you have to experiment to get the desired thickness.

Some good thickener practices

  • Try not to use ice cubes. Melted ice can change the thickness of the liquid. Thickeners with xanthum gum, such as ThickenUp and Simply Thick can be used to make ice cubes. Thicken water to the needed thickness level, and freeze it in ice cube trays. Check the product’s food label to see if xanthan gum is a listed ingredient.
  • If you are using powdered thickeners, add more thickener if the liquid is too thin. If the liquid is too thick, add more liquid until it is the needed thickness level.
  • Be careful when using some powered thickeners. Some products keep getting thicker with time. Read label and instructions carefully.
  • Do not eat gelatin dessert, ice cream, sherbet, and sorbet. These food items are thin liquids since they melt in your mouth. Eat thick custard as a substitute for ice cream.
  • Broth-based soups are thin liquids. Broth can be thickened to the needed thickness using items, such as mashed potatoes, instant potato flakes, pureed vegetables, flour, or cream.
  • Be sure to have your thickening supplies with you when you go out to eat or when on the go. You can get many thickening agents in single serving packets.
  • Commercial supplements, such as Boost or Ensure, may change consistencies when they are chilled or at room temperature. Use the fork test to decide if thickener needs to be added to your drink.
Using thickened liquids for safer swallowing (2024)

FAQs

Using thickened liquids for safer swallowing? ›

Thickened liquids give you better control of the liquid in your mouth. They help slow down the flow rate of liquids, which lessens the chance of liquid going into your airway or “going down the wrong pipe.” Liquids that go into your airway end up in your lungs.

Are thickened liquids easier to swallow? ›

Thickened liquids flow more slowly than thin liquids, and this provides extra time for a person with dysphagia to achieve airway protection during swallowing.

What is a potential risk when using thickened liquids? ›

These include: increased risk of dehydration and urinary tract infections, reduced health and social-related quality of life, early satiety, unpalatable taste and texture, increased thirst, altered bowel habits, increased risk of oral and pharyngeal residue, impaired bioavailability of certain medications, and ...

What are the guidelines for thickened liquids? ›

Allow hot drinks to cool slightly before adding the thickener. Thickened drinks stay on the tongue for longer so they may taste stronger. You may need to make drinks slightly weaker than usual. Stirring the powder with a spoon causes lumps.

What thickener is good for swallowing? ›

Thick-It® Original Food & Beverage Thickener

The first commercially available food and beverage thickener for dysphagia, the Thick-It® Original product has been recommended by healthcare professionals for over 30 years. Today, it is the number one retail brand for people with dysphagia.

What are the advantages of thickened fluids? ›

In addition, thickened fluids “hold together” better than thin fluids so are easier to control in the mouth and are generally less likely to penetrate into the airway entrance before or during the swallow.

What are the side effects of liquid thickeners? ›

Do thickeners have side effects? Thickening agents may cause side effects such as constipation, gassiness, or loose stools (soft poop or diarrhea). How long does my child have to use a thickening agent? A thickening agent is used until your child can swallow safely.

What drinks are naturally thick for dysphagia? ›

Naturally thick drinks

Try vegetable juices, such as carrot or tomato, or fruit juices, such as apricot, mango or peach. Smoothies are a popular naturally thick drink.

Do thickened liquids prevent aspiration? ›

Thickening of liquids can reduce the incidence of penetration-aspiration. Vocal fold paralysis, impaired laryngeal sensation, and history of aspiration pneumonia are significant risk factors of penetration-aspiration.

How does the use of fluid thickener reduce dysphagia risk? ›

Thickened fluids are a well-known tool used in the management of eating, drinking and swallowing problems (dysphagia). Thickened fluids can reduce the risk of laryngeal penetration and aspiration.

Is Jell-O good for dysphagia? ›

Texture modification in the form of gels or jellies is used for patients with dysphagia. For over 20 years, our group has been using gelatin jellies, a type of gel, as a starting diet for patients with dysphagia. Gelatin jellies are served in a small-sliced form and swallowed whole.

What liquids Cannot be thickened? ›

milkshakes, slushy drinks, Jell-O®, or sherbet. These foods can't be thickened.

What foods aggravate dysphagia? ›

High risk foods to avoid with dysphagia:

Mixed consistency foods – these are any foods with more than one texture or consistency that can prove challenging for someone with dysphagia. E.g. cereals that do not blend well with milk, minced meat with a gravy or bread that has been dipped in soup.

How can thickened liquids help a person with swallowing problems? ›

Liquids come in different types. Some are thin and flow quickly. Others are thicker and flow more slowly. Thicker liquids that flow slowly are easier to swallow.

For which condition would a patient require thickened liquids? ›

This is called dysphagia (dis-fay-juh). Children with dysphagia need to have their food and drink changed so they can safely eat and drink. If your child has dysphagia, you may need to thicken the liquids they drink. Thickened liquids move more slowly than thin liquids.

Can thickened liquids cause dehydration? ›

Sharpe et al. (2007) reported that all the starch- and gum-based thickeners tested in rats and humans released 95+% of the fluid content to the subject's systems. Therefore, the use of thickened liquids will not contribute to patient dehydration.

Can moderately thick liquids pass through a normal straw? ›

Level 3 – Moderately Thick

It is a fluid which: Can be drunk from a cup. Some effort required to suck through a standard bore or wide bore straw (6.9mm diameter)

Why do people need their drinks thickened? ›

Aspiration can cause serious chest infections, or even pneumonia. Thickening your drinks will help prevent this from happening. Because thickened drinks move more slowly in the mouth and throat, you will have more control over them and more time to swallow them safely and easily.

What thickening agent is suitable for dysphagia? ›

Clear gum-based thickeners are the preferred choice as they are the most palatable and safest. The use of tins, not sachets or pre-thickened drinks is preferred as they are more cost-effective. Examples of clear gum-based thickeners are Nutilis® Clear and Resource® ThickenUp Clear.

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