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Ginger Milk Pudding | IDDSI Level 4 Care Food Recipe

4Level 4 Puréed
Prep: 20 min Difficulty: Medium Main ingredient: milk
#level-4#dessert#ginger#milk#cantonese#anti-nausea#traditional

Ginger Milk Pudding | IDDSI Level 4 Care Food Recipe

IDDSI Level 4 | 20 minutes | Medium

Why Ginger Milk Pudding

Ginger milk pudding (薑汁撞奶) is a traditional Hong Kong dessert that uses the natural protease enzymes in fresh ginger juice to set hot whole milk — no additives, no gelatine, no thickener required. When set correctly, the texture reaches IDDSI Level 4 (spoonable but cannot be poured), making it an excellent natural dessert choice for people with dysphagia. Ginger’s anti-nausea properties are an added benefit for many elderly patients on medications.

Ingredients (1 serving)

  • 150ml whole milk (full-fat only — reduced-fat milk will not set reliably)
  • 2 teaspoons fresh ginger juice (from approx. 20g old ginger, grated)
  • 1–2 teaspoons caster sugar (to taste)

Equipment

  • Grater or ginger grinder
  • Fine sieve or muslin cloth
  • Shallow bowl or deep plate
  • Kitchen thermometer (recommended)

Method

  1. Peel and grate old ginger, strain through a fine sieve or muslin to extract pure ginger juice. Measure 2 teaspoons into the serving bowl.
  2. Warm milk with sugar over low heat to 70–75°C (small bubbles forming at the edge, not boiling) — temperature is the key variable: too low and it won’t set; too high and the enzyme is destroyed.
  3. Hold the pot about 30cm above the bowl and pour the hot milk into the ginger juice in one swift motion — do not stir.
  4. Leave undisturbed for 3–5 minutes to allow the milk to set naturally.
  5. Test by touching the surface lightly with a spoon — it should offer gentle resistance and not flow.

Texture Test

Spoon tilt test: Passes Level 4 — milk holds its shape on a spoon; does not flow when bowl is gently tilted; separates when pressed with a spoon.

Fork pressure test: Fork side leaves an imprint without the mixture springing back.

Troubleshooting

ProblemLikely CauseFix
Does not setMilk too cool or insufficient ginger juiceEnsure 70–75°C; increase ginger to 2.5 teaspoons
Sets too firmMilk overheated or excess ginger juiceKeep to 70–75°C; no more than 3 teaspoons ginger
Watery textureUsed reduced-fat or UHT milkUse fresh whole milk only

Sourcing Outside Hong Kong

For international care kitchens and home cooks outside Hong Kong, Cantonese ingredients are widely available at East and Southeast Asian grocery stores:

  • United Kingdom: Wing Yip (Birmingham, London, Manchester), See Woo (London), Loon Fung (London)
  • United States: 99 Ranch Market (West Coast), H Mart (East Coast), local Chinatown grocers
  • Canada: T&T Supermarket (national chain), local Asian markets
  • Australia: Burlington Supermarket, Tang’s, local Chinese grocers in Chinatown precincts
  • Singapore & Malaysia: Sheng Siong, NTUC FairPrice (Singapore); Tesco, Mydin (Malaysia)
  • Online: Sous Chef (UK/EU), Amazon.com (US), Yami.com (US)

Full-fat dairy milk: universally available. Calcium-enriched varieties at mainstream supermarkets.

If a specific ingredient is unavailable in your region, the recipe notes alternative substitutions in the Ingredients section. For dishes requiring fresh Cantonese-specific ingredients (e.g. preserved century egg, fresh rice noodle rolls), check with your local East Asian grocer before substituting — texture compliance for IDDSI levels may require specific products.

Safety Note

Suitable for IDDSI Level 4. If the person requires Level 3 or below, blend the set pudding until smooth, then adjust to target consistency with an appropriate food thickener.

Nutrition

Approximately 130 kcal per serving, 7g protein, 230mg calcium. Whole milk provides high-quality protein and calcium for bone health — particularly important for elderly with osteoporosis. Ginger’s anti-nausea properties may benefit those experiencing medication-related nausea.

⚠️ This recipe is for reference only. Texture varies by technique and ingredients. A speech therapist should confirm the appropriate IDDSI level.