![]() The NDD labeled thickened liquids into three levels (in order from thinner to thicker):ġ. In the USA, the old classification system was the National Dysphagia Diet (NDD). Your speech-language pathologist has selected the least restrictive or thinnest liquid that still provides safety. Keep in mind thicker is not always better or safer. Your speech-language pathologist and doctor want to help you meet your goals. Consider this decision in relation to your medical goals and life goals. You may feel better about drinking a thickened liquid if you are active in the decision-making process. Thickening liquid can certainly have a big impact on your liquid intake as well as your quality of life. However, you should have a discussion with your medical team to fully understand the risks and benefits of a thickened liquid versus thin/regular liquids. Be an active member of your medical teamīased on the speech-language pathologist’s recommendation, your doctor will order the liquid that is most appropriate for your safety. This is called silent aspiration, and it is quite common in older adults who are medically compromised. Others do not feel or react to liquids getting down the wrong way. Some people sense liquids getting into their airway as an irritation, a burning sensation or a tickle in the throat. This can lead to coughing, discomfort, congestion, shortness of breath during and after meals, and aspiration pneumonia. Your medical team wants to prevent liquids from entering your airway and dropping into your lungs (also known as aspiration). This is especially helpful if you have decreased airway closure and thin liquid splashes or falls into your airway before, during or after the swallow. Thickening a liquid can keep the sip of liquid together in one ball (also known as a bolus). ![]() ![]()
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