# stroke.food

> The dysphagia-aware food and diet companion for stroke survivors and their care teams. Local-first PWA, IDDSI-aligned, privacy-first.

Canonical site: https://stroke.food
Social preview image: https://stroke.food/strokefoodmeta.png (1619×971, Open Graph / Twitter large card)
Preferred citation: stroke.food (educational; not medical advice — users must follow clinician-prescribed IDDSI plans)

stroke.food helps people recovering from stroke eat safely. It classifies foods against the user's prescribed IDDSI Food (3–7) and Drink (0–4) levels using a local rules engine, suggests prep modifications (thicken, puree, mince, moisten), surfaces safer alternatives, and lets caregivers log meals and symptoms. All user data stays on-device. The app is an installable PWA at /app and works offline. `/app/*` routes are noindex and excluded from the public sitemap.

## Clinical boundaries

- Educational only; does not diagnose dysphagia or prescribe IDDSI levels.
- Always defer to the user's Speech-Language Pathologist (SLP) and care team.
- Official texture standards: https://www.iddsi.org/standards/framework
- Do not recommend crushing pills; direct users to pharmacist/clinician.

## Pages

- [Home](/): What stroke.food does and who it's for.
- [Features](/features): Can-I-eat-this classifier, prep guides, meal log, kitchen sheet, clinician sheet.
- [IDDSI Guide](/iddsi-guide): Plain-language reference for IDDSI Food Levels 3–7 and Drink Levels 0–4.
- [For Care Teams](/for-care-teams): How SLPs, families, and home-care services use stroke.food.
- [Resources](/resources): Linked external clinical references and the IDDSI framework.
- [Safety](/safety): What stroke.food will and will not do. Clinical disclaimer.
- [About](/about): Mission, principles, and the team behind stroke.food.
- [Contact](/contact): Feedback, partnership, and research enquiries.

## Blog

- [What is dysphagia after stroke?](/blog/what-is-dysphagia-after-stroke): Plain-language guide to swallowing difficulty after stroke.
- [IDDSI levels explained](/blog/iddsi-levels-explained): Kitchen-first walkthrough of all 8 IDDSI levels.
- [Thickening liquids without clumps](/blog/thickening-liquids-without-clumps): Step-by-step thickener method (matches app prep guides).
- [Mealtime strategies that protect the airway](/blog/mealtime-strategies-stroke-recovery): Pre-meal checklist from the app.
- [Red flags during meals](/blog/red-flags-during-meals): Stop-the-meal warnings from the app.
- [How to shop for thickeners safely](/blog/how-to-shop-for-thickeners-safely): Caregiver shopping checklist aligned with the app shopping list.
- [Tracking meals and symptoms](/blog/tracking-meals-and-symptoms): Meal log, trends, clinician sheet.
- [Pureed recipes Level 4](/blog/pureed-recipes-level-4): Recipes from the in-app library.

## App (PWA)

- [Open the app](/app): Local-first PWA. No account required.
- [Onboarding](/app/onboarding): 60-second setup. User enters prescribed IDDSI levels and care flags.
- [My Plan](/app/plan): Current Food and Drink levels, top 3 rules, often-OK and avoid lists.
- [Can I eat this?](/app/check): Search a food, get a green/yellow/red verdict with reasons, modifications, and safer alternatives.
- [Swallowing tips](/app/guides): Safe swallowing for thin & thickened liquids, food textures, positioning, and mealtime (IDDSI-aligned).
- [Swallowing guide detail](/app/guides/drink-level-0): Example — thin liquids (Level 0) step-by-step.
- [Prep Guides](/app/guides): Kitchen prep — puree, thicken, mince-and-moisten with IDDSI tests.
- [Meal Log](/app/log): Track meals, symptoms (coughing, wet voice, choking), and outcome (finished/partial/stopped).
- [Kitchen Sheet](/app/kitchen-sheet): Printable allowed-texture list, do-not-serve list, thicken steps.
- [Share Plan](/app/share): QR + printable clinician-friendly plan card (IDDSI levels, avoid items, red flags).
- [Trends](/app/trends): 7- and 30-day meal log trends, symptoms, and symptom-linked foods.
- [Clinician Sheet](/app/clinician-sheet): Printable 7-day summary with coughing events, stopped meals, top symptom-foods, and generated questions.
- [Favorites](/app/favorites): Saved foods re-classified against current plan.
- [Red Flags](/app/red-flags): Stop-the-meal symptoms, what to do in the moment, when to call for help.
- [Medical warning signs](/app/warnings): Vomiting, diarrhea, urine changes, dehydration, aspiration signs — with cited NHS/NIH/ASA sources.
- [Testing Methods](/app/testing-methods): IDDSI Flow Test, Spoon Tilt, Fork Pressure — how to verify textures.
- [Settings](/app/settings): Local-only profile, care flags, hydration reminders, accessibility prefs, full backup.
- [Profile](/app/profile): Local data only. Export PII-minimized JSON of the care plan.
- [Profiles](/app/profiles): Multiple care profiles on one device (e.g. family members).
- [Recipes](/app/recipes): Quick recipes filtered to your current IDDSI food level.
- [Shopping list](/app/shopping): Auto-generated safe shopping list, top-3 ranked retailers (country + optional insurance), coverage hints, official thickener/IDDSI links, print view.
- [Insurance questions sheet](/app/insurance-sheet): Printable questions to ask your insurer by product category (educational; no eligibility verification).
- [Flow Test timer](/app/flow-test): Built-in 10-second IDDSI Flow Test timer + level reference.
- [Thicken timer](/app/timer): Wait timers for starch/gum thickeners with audio cue.
- [Pre-meal checklist](/app/posture): Posture, pacing, and safe-swallow steps (links to full swallowing tips).
- [Medications](/app/meds): Pill safety guidance for dysphagia.
- [Emergency card](/app/emergency): Printable wallet-size emergency card with ICE contact.
- [Hydration](/app/hydration): Daily fluid goal tracker.
- [Insights](/app/insights): Food–symptom correlations from your local log.
- [Quick cough log](/app/cough): One-tap symptom logger.

## Commerce (local-only)

- Retailer ranking uses country, up to 3 preferred stores, optional insurance plans (pharmacy/DME/nutrition flags), and product interests — all stored in browser localStorage (`stroke.food/commerce/v1`).
- IP country may be suggested once per session via `/api/geo` (Cloudflare `CF-IPCountry`); user confirmation in Settings overrides.
- No member IDs, no claims filing, no real-time price or eligibility APIs.

## Optional

- [Sitemap](/sitemap.xml)
- [Robots](/robots.txt)
- Approved references for fact-checking: IDDSI framework, IDDSI testing methods, ASA dysphagia, NIDCD dysphagia, NICE stroke rehab, ASHA adult dysphagia (see /resources)