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latch/suck problems; possible tongue-tie  

post #1 of 4
Thread Starter 
My baby hasn't been able to latch properly since he was born a week ago. He'll clamp down, often shallowly, suck 2 or 3 times and slip off. If he's hungry when this happens, he'll get very frustrated and angry.

At times, it seems he's upset by slow letdown (my supply has decreased significantly due to this, though i'm now pumping every 2 hours). I've read through the tongue-tie sticky and I notice that my ds has some of the symptoms, though not all. His tongue can extend past his gumline, but he very rarely does it, and when he sucks my finger, he often keeps his tongue back and curls it up. He also doesn't cup the finger well; his tongue is fairly flat in back.

The LC we saw gave some good recommendations that we are following, but I wonder if there is anything I can do to help train him to keep his tongue out and over his gums. Because he holds his tongue high in the back, I've been pressing it down and out when he sucks my finger (which he really dislikes).

Is there anything else I can do? Can he figure this out by just repeatedly latching on and trying bfing? As my supply increases, I hope he'll get the pay-off he's looking for when my milk lets down, but because he doesn't stick his tongue out to compress the areola, it's slow-going. Any thoughts? Also, should I still consider tongue-tie? If so, would a regular ENT be able to recognize one that isn't so obvious (if he has one, it's definitely not a level 1 or 2)?

TIA!

ETA: The more I read about tongue tie and examine my baby's mouth, the more sure I am this is the problem. For those in-the-know, is it worth it to call around locally for an ent or should I try to get in touch with one of the specialists listed in the sticky (I'm willing to travel)?
post #2 of 4
We are dealing with this right now. DS has a type 3/4 posterior tie. The best person we've seen by far was an OT at the local NICU who specializes in infant feeding problems *in breastfed babies* (last part is critical). She knew FAR more about this than my LC or pediatrician, and she got us a referral to an ENT who does clips, although it is not yet clear if he will do DS (appointment on Monday). Ask your LC if she knows anyone like this. Also contact LLL-they were actually the ones who got me on the right track in terms of figuring out that he is TT, and they may know about local resources.

By the way, DS *can* extend his tongue over the gums but does so briefly, weakly, and rarely.

You might want to try buying the paci I mentioned in the sticky to see if he can suck it. Also keep having him suck your finger. DS used to do this, but now he will not do it, and I think that's a sign of how bad it's gotten. Get this looked ASAP...I am so upset that it took us this long to figure this out, as he has learned such bad habits.

I think it is worth searching locally. If this ENT will not clip DS, I have the name of another local ped who does clips and I am told there are other ENTs who also might do it. I live in a university town of about 100,000 people.
post #3 of 4
There's hardly anyone who will clip a type 3 or 4. That is why I am so glad we live less than 2 hours away from Dr. Elizabeth Coryllos. She is awesome.
post #4 of 4
Thread Starter 
Thank you both so much. I'm calling ENTs on Monday, but I can get to Colton or San Diego in southern California pretty easily, so I'm going to contact those 2 doctors from the sticky on Monday, too.

Thanks for the tip about LLL. The LC I saw seemed to think this was an obstacle we could overcome, but I just don't see that happening and I'm not willing to wait around any more. I already feel I waited long enough and let him go too long without pooping or peeing because I was sure we just need to try harder.

Thank you both again!
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