Table 1.
Xerostomia | Stomatitis | Diarrhea | Nausea/Vomiting | Dysphagia (Mechanical) | Dysphagia (Neurological) | Sub-Occlusion | Dysgeusia and Dysosmia | Anorexia | Cachexia | |
---|---|---|---|---|---|---|---|---|---|---|
Texture (IDDSI scale) |
0–5 | 0–4 | Any | Any | 0–4 | 3–5 | 0–4 | Any | Any | Any |
Multiple textures | Any | Any | Any | Any | Avoid |
Any | Any | Any | Any | Any |
Temperature | Any | Low | Normal | Low | Any | Any | Any | Any to warm/hot | Any | Any |
Sourness | Mild to high | Very low | Normal to low | Low | Any | Any | Any | Any | Any | Any |
Sapidity | Any | Low to very low | Normal to low | Normal to low | Any | Any | Normal | Normal to very low | Any | Any |
Spiciness | Any | Avoid | Low | Low | Any | Any | Normal to low | Normal to very high | Normal to very high | Normal to very high |
Hydration | High | High | Low | Normal | High | High | High | Any | Any | Any |
Fattiness | Normal | Normal | Low | Low to very low | High to very high | Normal | Any | High | High to very high | High to very high |
Amount of fiber | Any | Any | Low to very low | Low | Avoid | Normal to avoid | Avoid | Any | Normal to low | Normal to low |
Leading nutritional points | Proper oral hygiene Introducing different flavors Avoiding sour foods Acupuncture during and after radiation for H&N |
Saline and sodium bicarbonate mouthwashes Oral cryotherapy Preferring soft or semisolid, mild-textured foods Opting for cool or room-temperature foods |
Abundant oral liquids with solutions rich in electrolytes and glucose Probiotics supplementation Small and fractioned meals rich in soluble fibers Avoiding foods and beverages with high osmolarity, caffeine and theine |
Eating small and frequent meals Having light snacks between meals Introducing ginger, chamomile, peppermint and cardamom Reducing liquid intake during meals Avoiding spicy, fatty, salty food and strong flavors Preferring bland foods, soft fruits or vegetables |
Preferring more liquid forms of foods Reducing fiber content |
Consuming small, fractionated semi-solid meals and thick liquids Prioritizing hard texture and fatty food Avoiding sticky or bulky foods, mixed textures |
Consuming smaller meal portions Opting for a diet lower in fiber and softer-textured foods Selecting refined grains Avoiding foods with high fiber content, skins of fruits and vegetables |
Preparing toppings or dressings Marinating meat or fish before cooking, or grilling them with acid products Opting for cold or lukewarm dishes Seasoning meat or fish with herbs and spices like rosemary, bay leaf, parsley, thyme, or Jamaica pepper Avoiding warm meals |
Using toppings, contrasting colors, and serving small portions Opting for small, frequent meals, especially well-cooked and energy-rich foods, particularly in the morning Including high-calorie and high-protein foods in the diet (homemade smoothies, juices and cream soups) |
Endorsing high-energy and high-protein foods with delicate aromas and flavors Preferring a homogeneous and creamy texture and a soft consistency Protein 1.5 g/day per kilogram of BW Opting for boiled, cooked, or grilled Adding fruit jams and honey to yogurt or salads and pairing aged cheese with soup |