Jaw Surgery Diet
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IDDSI Level 4 · Puréed

Bubur Sumsum

Indonesian rice-flour porridge in coconut milk with palm sugar.

Bubur Sumsum — puréed texture, IDDSI Level 4
J
Jaw Surgery Diet
Texture graded against the IDDSI framework. Not individually reviewed by a clinician — how this site works
3g
Protein
220
kcal
34g
Carbs
8g
Fat
1g
Fibre
2
Servings

Ingredients

  • 60g rice flour
  • 400 ml coconut milk
  • 200 ml water
  • Pinch of salt
  • 3 tbsp palm sugar syrup

Makes 2 servings · 20 min · Indonesian

Method

  1. Whisk the rice flour into the coconut milk and water until smooth.
  2. Cook over low heat, stirring constantly, until thick and glossy.
  3. Season with a pinch of salt.
  4. Serve with a little palm sugar syrup, blended smooth.
Texture note — IDDSI Level 4

Smooth Level 4. Add coconut milk for a thinner 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 2 servings this recipe delivers 3g of protein and 220 kcal per serving in about 20 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.

Watch this recipe Find this dish near me

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

Miso Salmon Purée IDDSI 4 · Puréed Miso Salmon Purée Japanese · 25 min Blendable salmon, silken tofu & dashi — top-tier protein. 26.9g protein286 kcal ▶ 📍
Medical disclaimer. Jaw Surgery Diet is patient education, not medical advice, and it does not create a doctor–patient relationship. Texture stages here follow the IDDSI framework, but the right stage for you is the one your own surgeon, speech-language pathologist or dietitian has set. If you are unsure whether a texture is safe for you — or if you cough, choke or feel food catching when you swallow — stop and contact your care team.