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? ›

If your child has dysphagia, you may need to thicken the liquids they drink. Thickened liquids move more slowly than thin liquids. This gives your child extra time to control the liquid while swallowing and keep it out of the lungs. This helps protect the airway.

Are thickened liquids easier to swallow? ›

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.

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 there a thickener for swallowing problems? ›

Thick-It® Original Food & Beverage Thickener

Today, it is the number one retail brand for people with dysphagia. Thick-It® Original Food & Beverage Thickener lets you produce any desired consistency quickly and easily without changing the taste or appearance of hot or cold puréed foods and beverages.

Can thickened fluids avoid choking? ›

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 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.

When do you recommend thickened liquids? ›

If your child has dysphagia, you may need to thicken the liquids they drink. Thickened liquids move more slowly than thin liquids. This gives your child extra time to control the liquid while swallowing and keep it out of the lungs. This helps protect the airway.

What are the risks of thickener? ›

Patient safety alert – Risk of death from asphyxiation by accidental ingestion of fluid/food thickening powder.

Do thickened liquids prevent aspiration? ›

Benefits of Thickening

An older study (Rofes et al., 2014) examined patients with neurologically based dysphagia. These were folks with stroke. They also had patients with neuromuscular diseases and elderly folks. They found that thickening in these populations did, in fact, reduce aspiration risk.

Why do old people need thickener in drinks? ›

People who have difficulty swallowing thin liquids usually must drink thickened liquids. Drinking thickened liquids can help prevent choking and stop fluid from entering the lungs.

How I cured my difficulty swallowing? ›

Cut your food into smaller pieces, chew food thoroughly and eat more slowly. If you have difficulty swallowing liquids, there are products you can buy to thicken liquids. Trying foods with different textures to see if some cause you more trouble.

What are the homemade thickeners for dysphagia? ›

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.
Jan 1, 2018

What do hospitals use to thicken drinks? ›

Most thickeners are either starch- or gum-based. Starch particles expand by capturing the fluid, which means they keep absorbing more liquid and get thicker after they are prepared.

What drinks are naturally thick for dysphagia? ›

Hot, milky drinks, such as Horlicks, hot chocolate or Ovaltine, thicken well. If you do not like milk, try the hot drink sachets where you just add boiling water. These also thicken well. Tea and coffee can be thickened.

Can you use a straw with thickened liquids? ›

You might think that drinking through a straw or a cup with a spout will be easier. However, this may send the drink further back into the mouth or throat before you have started swallowing. Using straws or spouts when drinking may increase the risk of liquid going down the wrong way into your windpipe or lungs.

Why am I suddenly choking on liquids? ›

Check if it's dysphagia

Some people with dysphagia have problems swallowing certain foods or drinks, while others cannot swallow at all. Signs of dysphagia include: coughing or choking when eating or drinking. bringing food back up, sometimes through the nose.

What are the benefits of thickened fluids? ›

The commonly accepted view is that by flowing more slowly, thickened fluids improve bolus containment and reduce risk of aspiration and cough-related distress, thereby improving safety and comfort. The literature reports that thickened fluids can alter swallow physiology and reduce aspiration.

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)

Are thickened liquids less hydrating? ›

Thickened water maintains body hydration, but did not calm thirst as water. When a thickened drink is disliked, more time and swallows are needed to drink it. Water intake after 90 min was higher when drinking starch-based thickener.

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