With swallowing difficulties, most people get to a point where eating a sandwich becomes difficult – mainly because bread crumbs can cause coughing, or you find the dough gets sticky and won’t move easily in the mouth.

Cutting bread into small squares can help, as a bite-shaped piece can lodge in the roof of the mouth. However, bread is much easier to eat if it’s moistened.

Use a little stock or thin soup, but not too much – the bread needs to soak up all the fluid. Then top the bread with an easy-swallow filling to enjoy the flavour of a sandwich. You may need to use cutlery, rather than picking up the sandwich.