Tongue tied

(17 posts)(9 voices)
  1. You know, ever since this baby got thrush she has not stopped that "clicking" noise when BFing, but for some reason I tuned it out. For the life of me, I could not figure out why my supply was dwindling and why she seemed to be slowing down quite drastically in her weight.

    I even started taking Motilium to get my supply back up, but she STILL seemed to have an inability to stay on the breast for very long.

    All of a sudden today I sort of tuned back in and realized that clicking sound was not normal. And then I remembered in my 1st days in the hospital the LC telling me my daughter had {insert name here}, which was the formal name for being 'tongue tied' and that it may cause problems down the line. For the life of me, I can't remember why I forgot this. Anyway, sure enough I look and she is tongue tied and I went to the kellymom site and she does display almost all the signs indiating the tongue tie is getting in the way of BFing.

    I really felt like I was starting to lose my mind with our BFing relationship, and I cannot tell you how it was effecting my overall happiness as a mother.

    I am hoping to get an apptmt with the ped tomorrow and am actually praying he can snip it right then and there. This explains so much, and in my gut I feel like I FINALLY understand what has been going on with the 2 of us this whole time!

    ETA: Another sign was that she could not keep the milk in her mouth properly, even after letdown. It would often times be pouring out of the sides of her mouth. I used to joke she was a very messy eater, but the truth is she can't keep proper latch or suction. Part of me feels dumb for not putting the pieces together sooner, and another part of me is glad I kept persisting and did not give up.

  2. Not very many peds will clip frenulums (sp?) anymore. Don't be surprised if you meet with resistance. LCs will support you and will be able to give you the names of peds who will do it. I had both of my dd's clipped, the first at 6 weeks (eek!!!), because it was clear, despite her weight gain, that my soreness was probably due to her being tongue-tied. Hard to do at that age, but for us it was worth it. My other daughter we had done at 3 days. Both times I had to visit another ped. I loved our doctor but he insisted that it was not a justifiable procedure in "this day and age." That was the only issue that I disagreed with him on over the course of 4 years when we moved out of state and had to find a new doctor.

    Good luck,
    markantonis

  3. Not that being tongue tied isn't a problem, but I have a few thoughts. Daniel is tongue tied and it did cause some issues in the first few weeks, but not later. My understanding from the LC was that if it was gong to be a problem it would do so from the start.

    My feeling is that what you are seeing is a latch problem. It's very likely that the pain of nursing with trush caused your dd to adjust her latch and she never went back to her normal latch. This could cause all the things you are discribing. Have you tried starting over and making sure she is latched properly and deeply every time. You may have to relatch her several times per feeding.

    A poor latch could cause the leaking too. Also if the milk is flowing too fast it could be a problem. Daniel had to learn to compensate for my fast flow even though I usually pumped 3-5 ozs before he nursed to take some of the pressure off.

    I didn't see how old your dd is but clipping is a bigger deal unless it's done pretty early. There is more of a danger of complications and most Dr's won't do it without putting them to sleep.

    If I had been more aware of what the LC was talking about I might have pushed to have it done when we had so much trouble the first few days. But it wasn't until months later that I realized that she had meant he was tongue tied. LOL Now we are waiting to see if it causes speech problems.

    I hope that you figure out what works for your DD.

  4. While paging between boards I saw this thread title and it caught my eye. I know nothing about breastfeeding but did have a tongue tied DS. Our first ped said to wait & see if he developed a speech problem but I thought why wait for a problem then have to work to correct it so we went to a ENT and he said DS had a pretty severe case that would never correct itself. Some tear on their own and some stretch I guess but not gonna happen for my guy. He was 9 months old when he had it done. Due to his age they had to knock him out but he was in & out of surgery before I could walk to and from the bathroom - honestly, that fast. He cried a little when he was out of recovery but once we fed him he was as good as new like nothing happened.

    The delivery nurses in the hospital were the ones who told us about DS having it and said in the old days they would clip it right then right after birth but they aren't allowed to do that anymore. Yes, let's get more money from another hospital visit!!

  5. thanks for all the replies here.

    i went to the ped today, and as i expected, she didn't want to do it. on top of that, she said within 10 seconds of me explaining my concerns "look, there is really no difference to the baby between BM and formula - do you really want to continue with breastfeeding anyway?". i actually wasn't expecting THAT, only resistance to the snip. i was pretty turned off.

    i BF my other daughter and so i do know how to get a good latch. i believe it wasn't a huge issue in the beginning with this one because i was so full the first few weeks, the baby did not have to do much vigorous sucking to get any milk (i also don't think her case is horribly severe - but enough to be causing some issues here where i think a snip would be wise). anyway, now that my body has adjusted she needs to do more work in terms of sucking to get the milk out, and that's where we are running into our issues.

    anyhow, i'd say i politely told this pediatrician that i wasn't going to be swayed, and that i didn't find her pro-breastfeeding even though she claimed she was (she also told me she has only seen a kid clipped twice in 15 years, and i'd have to go to an oral surgeon to have it done - which is not true). my DD is 2 months and it can still be done without sedation, which she also told me was not an option. luckily, my cousin is an ENT and will be in town next week staying at my aunt's. she said she would gladly do it, and that it would take all of 30 seconds and many of her patients find a much improved latch immediately afterwards. oh, and the ped did look at DD and verify she was tongue tied.

    so frustrating. i like how these doctors sort of tell you that breastfeeding is best because that is what is popular to say now, but then won't do jack sh*t to help you sustain a healthy BFing relationship.

  6. The delivery nurses in the hospital were the ones who told us about DS having it and said in the old days they would clip it right then right after birth but they aren't allowed to do that anymore. Yes, let's get more money from another hospital visit!!

    Right? I read this too - that often times MWs would keep an extra long fingernail and just swipe it immediately after birth!

  7. My feeling is that what you are seeing is a latch problem. A poor latch could cause the leaking too. Also if the milk is flowing too fast it could be a problem.

    I definitely know how to latch a baby on correctly, this is the 2nd one I have BF. I agree it is a latch problem - the baby cannot keep suction due to the tongue tie. I get what you are saying, but I know in my gut this tongue tie is causing our issues as this is my 2nd time BFing.

  8. Not very many peds will clip frenulums (sp?) anymore. Don't be surprised if you meet with resistance. LCs will support you and will be able to give you the names of peds who will do it. I had both of my dd's clipped, the first at 6 weeks (eek!!!), because it was clear, despite her weight gain, that my soreness was probably due to her being tongue-tied. Hard to do at that age, but for us it was worth it. My other daughter we had done at 3 days. Both times I had to visit another ped. I loved our doctor but he insisted that it was not a justifiable procedure in "this day and age." That was the only issue that I disagreed with him on over the course of 4 years when we moved out of state and had to find a new doctor. Good luck,markantonis

    Thanks for this - I really do like the pediatrician practice I am at. I guess some of them just can't help being naive to this issue? It seems like most are. How was she at 6 weeks when you had it done? Mine is 8 weeks.

  9. hoping - My DS was tongue tied. It was pretty severe and interfered with his bf. I had a very hard time getting a latch and was pumping and feeding with a syringe. I noticed when he was 18 hours old, but my ped had already left for the day. So I brought it to his attention the next day. He referred us to an ENT. They came in that night and clipped it. He said at that age it is only 2-3 cells. After clipping he was able to bf but it was still hard because he had to relearn. We needed a nipple shield for a couple of weeks. But after that all was great. I don't regret it and if you think it is causing problems, I would definitely get it done.
    Jennifer

  10. Of all the years I've been here on IVFC I don't think I have ever read a post about anyone regretting getting the tongue tie clipped. If you do it and the feeding problem isn't resolved well at least you ruled it out and can try something else.

  11. thanks ladies. glad to know there are reassuring stories out there. this pedi acted like i wanted a nose job for the kid or something. it's a snip, with topical anesthetic. what's the worst that can happen? the BFing doesn't improve but i prevent a possible speech issue?

    i don't get why they were not concerned about an over 50% drop in weight gain. really irritating.

  12. hoping.. i am glad you have someone that will do this for you. wow shame on that ped for suggesting you switch to formula when the answer is so simple. everyone knows breast is best and formula after that or if you choose not to bf. but for a doc to suggest you stop bf!!! wow. i am glad you were able to stand up to that doc and find someone who will do the snip. gosh it will make bf so much easier for you and dc!! good luck. sue

  13. t on top of that, she said within 10 seconds of me explaining my concerns "look, there is really no difference to the baby between BM and formula - do you really want to continue with breastfeeding anyway?". i actually wasn't expecting THAT, only resistance to the snip. i was pretty turned off.

    this is appalling. glad your cousin will be doing it for you guys- and are you in the market for a new ped?

    pilma

  14. DS was tongue tied... our ped sent us to specialist ( he wanted it done right he wasn't comfortable doing it himself)... the specialist told us he had never had any issues with clipping. Well Ds was the first then. He clipped and ds didn't stop bleeding, they had to cauterize. He had black lips for a few days from the silver nitrate, do I regret it no... but wow I felt craaapy for days like a bad mommy!

    I did a bunch of research and the deciding factor was our minister's son, at 16 he had to have his clipped because his teeth and gums were separating. So I decided that I would rather do it now then later.

    Be careful!!!

    tracy

  15. "look, there is really no difference to the baby between BM and formula - do you really want to continue with breastfeeding anyway?"

    I don't think I would have been able to be polite after a statement like that! This doctor is NOT BF friendly and I would have a hard time at her practice. I wouldn't be able to trust her advice when she is so clearly wrong on a very important topic. What about the AAP's recommendation to exclusively nurse for 6 months and continue nursing until age 2? Is she a member of the AAP?

    Anyway, before I got so fired up, I was just reading to see if you'd gotten the frendulum clipped. I hope so and that it has solved your problems. Good luck!

  16. How is it going? Can the baby nurse better now?

  17. My son had a problem latching in the hospital and the LC mentioned he was a little tongue tied. She suggested I mention it to my ped.
    On the first ped visit 4 days after he was born, the ped asked how the BF'ing was going. I said he had a latch problem. Without me even saying anthing about the tongue, the ped, started looking at his tongue.
    He said "oh, he's a little tied, let's clip it". We walked downstairs together in the clinic to the Ear Nose And Throat and the dr. there clipped it on the spot. No problems- DS didn't even wake up.

    Our ped told us that the biggest cause of latch problems that he sees is tongue tied issues and they are easy to correct.

    Sure enough, he latched well after.

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