Testing Plain Water Access for People with Swallowing Difficulties

This study is testing a simple approach called the Free Water Protocol for people who have difficulty swallowing thin liquids after a stroke or trauma. Normally, these patients are restricted to thickened liquids only to prevent choking. This trial allows some patients to drink plain water under specific conditions—after meals and following mouth care—to see if it improves hydration and comfort without increasing the risk of serious lung infections.

Many patients find thickened liquids unpleasant and frustrating, and the restrictions can leave them dehydrated. While some hospitals have successfully used this treatment, doctors need more solid evidence that it is safe in hospital settings and truly helps patients feel better.