Soft diet
Speak to your healthcare team if your swallowing problems are making eating and drinking hard. Your doctor may refer you to a speech and language therapist.
The therapist checks that your swallowing is safe. Also, that food or drink is not going down the wrong way. They might suggest that you stick to eating soft foods. Or they might tell you about the types of textures that are better for you.
Everyone is different. One person may be able to eat certain foods that cause problems for another. Some people may not be able to manage high fibre foods such as vegetables and grains. People vary in the type of textures of different foods they like.
You might need some specific advice from a dietitian too. Ask your doctor or nurse to refer you to a dietitian at your local hospital. They might suggest that you try liquid supplements to boost your diet.
It can be difficult to eat the right variety of food if you need a soft diet. You need enough calories to stay healthy and keep your weight up.
The following tips can help you make the most of a soft diet.
Having small frequent meals with snacks in between is often easier to cope with. And it will increase your nutritional intake each day.
Take your time when you eat your meals and make sure you chew your food well.
Take sips of liquid between mouthfuls.
Eat more stews and casseroles. Long, slow cooking softens meat, beans, pulses and vegetables.
Use more sauces, gravies, cream, butter, milk or custard to soften foods. Moist food is easier to swallow than dry food.
Make milkshakes (banana, chocolate, strawberry) and add ice cream for extra calories.
Use dairy free alternatives to butter, milk, cream and ice cream if required.
You can eat most of your favourite foods this way, with a few changes here and there.
Mince or finely chop meat and vegetables in a food processor before or after cooking.
Liquidise meat or vegetable casseroles or curries to make tasty soups.
Try pureeing vegetables and mashed potatoes.
You can liquidise ready meals if you feel too tired to cook.
Foods like bread and fish with bones are less suitable to liquidise.
Use milk or cream instead of water when mashing or liquidising foods.
Have plenty of high calorie drinks.
Add butter to liquidised foods.
Have more soft snacks between meals.
Let very hot meals or drinks cool before you eat or drink them. Warm foods may be more soothing.
Cold foods such as ice cream, yoghurt, mousse or jelly can be soothing too.
Avoid foods that need a lot of chewing or are harder to swallow. These include:
nuts and seeds
raw fruit and vegetables
fruit or vegetables with tough skins
tough meat
dry or crispy foods
bread
stringy foods
The Royal Surrey NHS Foundation Trust have a video called 'What should I eat if...I find it difficult to swallow? Tips to support you during cancer treatment'.
Watch this Royal Surrey NHS Foundation Trust video on YouTube
You can turn most of your favourite foods into a soft meal.
Some ideas are:
porridge or other soft cereal
mashed or stewed fruit
boiled, poached or scrambled eggs
yoghurt or fromage frais
Some ideas for soft savoury foods are:
Meat or vegetarian:
casseroles, stews or curries
shepherd's pie or cottage pie
moussaka
chilli con carne
soup with added cream
Meat:
chicken in cream sauce
savoury mince
corned beef hash
tuna mayonnaise
fish and potato in a creamy sauce
Vegetarian and vegetable dishes:
lentils made into dahl
ratatouille
mixed vegetables mashed with butter and melted cheese
cauliflower cheese
soft cooked risotto
mashed potato with butter, grated cheese or cream cheese
baked beans with grated cheese
tinned spaghetti with grated cheese
Pasta:
pasta with different sauces, such as goats cheese, mushroom or creamy tomato
bolognase
lasagne
macaroni cheese
noodles
Egg dishes:
quiche or flan
egg mayonnaise
omelette or scrambled egg
Dips and pâtés:
smooth pâté (fish or meat)
hummus
guacamole
taramasalata
cream cheese
Buy full fat yoghurts and puddings, not low fat types. Dairy free alternatives for most of these are available. Some ideas for soft desserts are:
Pudding, trifles and pies:
Try these with egg custard or homemade, powdered, carton or tinned custard.
sponge pudding with custard or cream
homemade or bought trifle
lemon meringue or banoffee pie without the crust
milk jelly or blancmange
milk puddings such as rice, tapioca, semolina or sago with added cream, jam or chocolate sauce
instant pudding mixes such as Instant Whip or Angel Delight
Desserts:
mousse
ready made chocolate desserts
crème caramel
cheesecake
Yoghurts:
whole fat yoghurts, thick and creamy or Greek yoghurt with honey or stewed fruit
fromage frais
Fruit and ice cream:
fruit fools and purées
mashed fruit with ice cream, custard or evaporated milk
ice cream or sorbet
tinned or stewed fruit with yoghurt, cream, evaporated milk or ice cream
fruit crumble or pie with custard or cream
Last reviewed: 02 Nov 2023
Next review due: 02 Nov 2026
A soft diet can help if you have difficulty swallowing because of your cancer or its treatment.
Medicines, soft diets, adding calories to your diet or tube feeding are some of the ways to manage diet problems.
The side effects of cancer and its treatments might cause problems with your eating, digestion and weight.
Having diet problems when you have cancer can affect you emotionally. But there are things you can do to help you cope.
There are lots of organisations, support groups and other resources to help you cope with diet problems caused by cancer and its treatment.
Search for the cancer type you want to find out about. Each section has detailed information about symptoms, diagnosis, treatment, research and coping with cancer.

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