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. 2023 Dec 11;15(24):5068. doi: 10.3390/nu15245068

Table 1.

The synoptical table to translate in plain language the crucial features of nutritional approach for each clinical scenario.

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