A little background: Silas is my 3rd baby. I breastfed the other two until they were 2.5 years old. I found it easy overall. No real problems aside from the occasional plugged duct. I do have overactive letdown/oversupply issues with the resulting problems (baby gasping for air, sucking air/making a clicking noise, choking on milk, and gas/reflux). These issues generally subside after about 6-8 weeks, especially as I block feed.
I've got the same thing going on again only worse. Silas also has minor tongue tie. Apparently the midwives mentioned it as something to watch the night he was born but I don't remember this. He can stick his tongue out over his gums and his tongue only makes a heart shape when he's yelling/crying hard. I didn't have a big problem with his latch (i.e. no cracked or bleeding nipples) and he's been gaining fine (he's up more than 4 Lbs since birth!).
However, his latch has always been what I would call narrow and pinchy. It doesn't HURT but it's not comfortable either. I have a very hard time getting him to open his mouth wide and none of my usual tricks work (rubbing the nipple from the nose down his face to his chin, or using a finger to pull his bottom jaw down). He really won't open his mouth. In fact, when he roots he either just moves his head side to side or bangs his face on my boob rather than opening his mouth at all. I really only get a great latch if he's been crying (which is a state I'd rather avoid, yk?) Because of this I still (at 7 weeks) have a hard time latching him in the dark or lying down. We still can't nurse side-lying because it's so hard to latch him and he has a hard time keeping his suction. He loses the nipple repeatedly and then slurps it back in (if he can) or starts banging his face around to look for it again.
I didn't even think of tongue tie until one day about 2 weeks ago when I noticed the frenulum when he was crying and it seemed more pronounced than my other kids' - and then I looked it up and learned that it could be the cause of him not opening his mouth. I brought it up with my midwife and she said that while he does have tongue tie, she thought that it's more a case of a lazy latch from the oversupply - he definitely does have that going on (holding the nipple and letting it drain in rather than sucking, just licking the nipple, milk pooling around his mouth) - and also that he may not open his mouth sometimes because he's fighting the drowning in milk thing (I know this from my previous babies biting down to stop the flow - but refusing to open their mouth when they're hungry?). Anyway, this seems a plausible explanation too.
She emailed me a couple of days later and said that she keeps thinking about it and that maybe we should see the specialist for a second opinion, just in case. So I see the specialist on Monday to see if we want to have the frenulum clipped.
I just can't determine if the problems are related to the tongue tie (and thus won't go away) or to the oversupply (and might lessen over time). I suspect it's the combo and I don't know if we should go ahead with having it clipped. I mean, he's gaining fine and I'm not in Pain. But I do find the situation disruptive and annoying, especially since he's still nursing every hour or two at night.
Any thoughts or experience with this?