IDDSI 4 · Puréed
Miso Salmon Purée
Blendable salmon, silken tofu & dashi — top-tier protein.
26.9g protein286 kcal
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Cháo (Rice Congee)
Cháo — Vietnam’s classic soothing rice porridge, blended smooth.
Ingredients
- 120g short-grain rice
- 1.2 L chicken or pork broth
- 80g soft-cooked minced chicken or pork
- 1 tsp fish sauce
- 1 slice ginger
- Squeeze of lime
Makes 3 servings · 45 min · Vietnamese
Method
- Simmer the rice in broth with ginger, stirring often, until fully broken down, about 40 minutes.
- Mince the meat very finely and stir through.
- Blend until completely smooth for a purée.
- Season with fish sauce and lime; loosen with broth to a spoonable consistency.
Smooth Level 4. Leave it un-blended and moist for Level 5, or thin with broth for Level 3.
Why this works at IDDSI Level 4
Level 4 is puréed: smooth, cohesive, and it holds its shape on a spoon without separating into liquid. It does not require any chewing, which makes it the workhorse level after most jaw surgery — it carries far more calories and protein per spoonful than anything thinner. Sieving matters here; skins, fibres and seeds are what break the texture grade.
At 3 servings this recipe delivers 13g of protein and 209 kcal per serving in about 45 min — worth knowing because protein intake, not calories alone, is what limits soft-tissue healing when chewing is restricted. Move up a stage on your surgeon's or speech-language pathologist's timeline rather than by how you feel on a given day: texture that is too advanced is the most common cause of pain, wound irritation and choking risk in the first weeks.
See all puréed-stage recipes →
See it made, or buy it nearby
Texture is hard to judge from written steps alone. Watching someone make it is often the quickest way to see how smooth “smooth” actually needs to be — and on the days cooking is too much, finding somewhere nearby that already makes it is a reasonable substitute.
What makes this easier
High-power blender and fine-mesh sieve. The recovery kit explains why each one earns its place, and what to look for when buying.
More puréed-stage recipes
IDDSI 4 · Puréed
Miso Salmon Purée
Blendable salmon, silken tofu & dashi — top-tier protein.
26.9g protein286 kcal
▶
📍
IDDSI 4 · Puréed
Creamy Red Dal Purée
Smooth lentils, warming spice, fully liquidised.
16.4g protein305 kcal
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IDDSI 3 · Puréed
Avocado Chocolate Mousse
Moderately-thick treat, blended to spoonable.
5g protein260 kcal
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