# IDDSI vs MASA Swallowing Exam

The clearest difference is rating: MASA Swallowing Exam at 3.7 against IDDSI's 1.6. MASA Swallowing Exam also leads on review sentiment (33% vs 0%) and update cadence (every 2 months vs every 21 months). IDDSI's advantage is in-app purchases (none vs 2). On price, ratings volume, ads and device support there is nothing between them.

Both are free to download. MASA Swallowing Exam sells 2 one-off in-app purchases. IDDSI asks for nothing beyond the download.

MASA Swallowing Exam holds the better App Store score, 3.7 against 1.6. Both are backed by a comparable volume of ratings — 14 and 12 respectively. Written reviews point the same way: 0% of IDDSI's written reviews are positive against 33% of MASA Swallowing Exam's.

IDDSI ships an update every 21 months, MASA Swallowing Exam every 2 months. Both last shipped on November 2, 2026.

## The numbers

| Metric | IDDSI | MASA Swallowing Exam |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [1.6 (14 ratings)](https://appshunter.io/ios/app/iddsi/id1145593063/reviews) | **[3.7 (12 ratings)](https://appshunter.io/ios/app/masa-swallowing-exam/id1446886599/reviews)** |
| Number of ratings | **14** | 12 |
| Positive reviews | 0.0% of reviews | **33.3% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | Every 21 months | **Every 2 months** |
| Monetization | **Free** | Subscription |
| Size | 100 MB | 40 MB |
| Requires iOS | 15.0 | **11.4** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 4+ |
| Developer | [International Dysphagia Diet Standardisation Initiative Iddsi](https://appshunter.io/developer/1650465352) | [Florida Dysphagia Institute, LLC](https://appshunter.io/developer/1442599214) |

## What reviewers say

### IDDSI

[App page](https://appshunter.io/ios/app/iddsi/id1145593063)

Access the IDDSI framework for food texture and drink thickness testing. This tool provides easy lookup of descriptors and tests, suitable for all ages and care settings to assist individuals with dysphagia.

**Highlights:** IDDSI framework access, Food texture descriptors, Drink thickness tests, Easy lookup, Applicable to all ages, Supports all care settings

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### MASA Swallowing Exam

[App page](https://appshunter.io/ios/app/masa-swallowing-exam/id1446886599)

This clinical tool automates the scoring of a standardized swallowing examination. It provides a comprehensive analysis of a patient's swallowing ability, including a total score, dysphagia severity, aspiration risk, and a profile of strengths and weaknesses.

**Highlights:** Automated exam scoring, Total score out of 200, Dysphagia severity ranking, Aspiration risk index ranking, Graphic profile of strengths and weaknesses

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 1 Month of MASA Access | $9.99 | one-time |
| 1 Year of MASA Access | $99.99 | one-time |


## Frequently asked questions

### Is IDDSI free?

IDDSI is free to download, with no in-app purchases.

### Is MASA Swallowing Exam free?

MASA Swallowing Exam is free to download, with in-app purchases available.

### Which has better reviews, IDDSI or MASA Swallowing Exam?

MASA Swallowing Exam is rated higher. IDDSI averages 1.6 out of 5 from 14 ratings, while MASA Swallowing Exam averages 3.7 from 12 ratings.

### Do IDDSI or MASA Swallowing Exam have ads?

Neither IDDSI nor MASA Swallowing Exam shows ads.

### Which is updated more often, IDDSI or MASA Swallowing Exam?

IDDSI ships an update every 21 months, and MASA Swallowing Exam every 2 months. Most recently, IDDSI was updated on November 2, 2026 and MASA Swallowing Exam on November 2, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*