I spoke with a lactation consultant and she suggested my son may have a tongue tie due to my description. DS has actually always been a great nurser (he's just under 6 weeks), though in retrospect I admit that if I'm not careful about positioning the right side especially is prone to clicking while nursing. In the last 3-4 days, nursing has become painful for me, and both nipples are developing cracks/bleeding, especially the right side. During that time, I noticed that latching has become difficult and he often ends up losing his hold, giving it a pronounced clicking. The only change I can imagine in our nursing habits is that I've been a little less careful about positioning as I start to take on more responsibility again with my toddler DD, and maybe my nipples have become traumatized making latch a little harder. The lactation consultant said to try the football hold, and that helped for a couple days but now I think I've just increased the area of pain. the left side looks better, but the right side is VERY painful to latch on and it still bleeding/cracked. I'm really careful to unlatch with my finger when I hear clicking and relatch every time it happens. But surely there's a cause to this, and I think that tongue tie might be it.
When I look at his tongue, the very tip has a little dip in it, like it's shaped like a tiny "m". The frenulum underneath seems to attach somewhere between a third and halfway up the tongue from the base. I have no idea what's "normal". When I put my finger in his mouth, he loses his latch on that, too. He's been gaining weight fine, but I think that's because I've been really careful about positioning.
So here's my point, if you've made it this far (thank you!): do you think this is a tongue tie? Also, and more importantly, what can I do to save my nipples while the problem is explored? I can imagine by my Thursday appointment I'll be hurting even more. Then if it IS a tongue tie, I'll have to wait for an ENT appointment, right? I'm so scared this is going to sabotage our nursing relationship!