IDDSI Level 4 · Puréed

Ferni

Name: Ferni
Total time: 20 min
Yield: 2 servings
Cuisine: Iranian
Ingredients: 4 tbsp rice flour; 500 ml milk; 3 tbsp sugar; 1 tsp rose water; Pinch of cardamom

Persian rice-flour pudding scented with rose water.

Jaw Surgery Diet

Texture graded against the IDDSI framework. Not individually reviewed by a clinician — how this site works

Protein

220

kcal

34g

Carbs

Fat

Fibre

Servings

Ingredients

4 tbsp rice flour
500 ml milk
3 tbsp sugar
1 tsp rose water
Pinch of cardamom

Makes 2 servings · 20 min · Iranian

Method

Whisk the rice flour into cold milk until smooth.
Cook over low heat, stirring, until thick and glossy.
Sweeten and add rose water and cardamom.
Serve smooth and spoonable.

Texture note — IDDSI Level 4

Smooth Level 4. Add 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 5g 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

IDDSI 4 · Puréed Miso Salmon Purée Japanese · 25 min Blendable salmon, silken tofu & dashi — top-tier protein. 26.9g protein286 kcal ▶ 📍

IDDSI 4 · Puréed Creamy Red Dal Purée Indian · 30 min Smooth lentils, warming spice, fully liquidised. 16.4g protein305 kcal ▶ 📍

IDDSI 3 · Puréed Avocado Chocolate Mousse Western · 10 min Moderately-thick treat, blended to spoonable. 5g protein260 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.