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Thread: Clicking Sounds

  1. #1
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    Default Clicking Sounds

    Hi all. I am looking for some opinions. Sorry it's kind of long...

    My son is 3 months old and has made clicking noises while nursing for as long as I can remember. At first I paid no attention to it and just thought it was due to my oversupply. However, I have managed to regulate my oversupply and it has made no difference. I even tried reclined nursing with no luck at making the clicking sounds go away. My sister was paying close attention to me nursing and made it clear that the sounds he was making were not normal. I've tried relatching him and making sure his position is good. That still did not help. Needless to say its only getting worse. The clicking is almost consistent and he takes in so much air while nursing that its hard to get it all back out. He is uncomfortable, really gassy and is not sleeping the greatest which I think is from gas.

    I talked with one of the LLL Leaders who is also a ILBLC and she seemed to think he could be tongue tied. We met at a meeting and she observed him feeding and then as best she could checked out him. He for sure has an upper lip tie but she told me to see his ped to determine if he is tongue tied.

    Today I met with them and they did say that his upper lip is tied but they rarely will clip it. She seemed to think his tongue was fine since he can stick it out past his gums. She thought the clicking was coming from him losing suction because of his upper lip. She basically told me to deal with it by applying pressure to his lower jaw while nursing to help keep the suction (which doesn't work) and to give himsimethicone drops for the gas (really?). I don't agree with just dealing with it especially since his tongue appears to me to be somewhat heart shaped and does not come to a point. If he isn't really tongue tied I'm ok with that but this clicking is making our breastfeeding relationship cumbersome. What else can I do to make this clicking go away? Thought about exclusively pumping but don't really want to...

  2. #2
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    Default Re: Clicking Sounds

    Hey thanks so much. This all sounds like exactly what we are going through except he is gaining well. I believe that is why the ped didn't think anything is wrong. I live in Minnesota so I hope I can fine someone that deals with this here!

  3. #3
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    Default Re: Clicking Sounds

    Why does it make your nursing relationship cumbersome? My baby clicked. And Gained well. Why is it a problem? He did it because even after oversupply goes away often there is still OALD. He clicked because he was positioning himself lower so that he could use it (his tongue to control the milk flow. How fast it came out. Why, if your child is gaining well and it's not causing you any pain is it a problem at all?

    Way too lazy for formula

  4. #4
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    Default Re: Clicking Sounds

    Posterior tt can certainly be a barrier to happy breastfeeding, and lip tie can be as well. Your LLL Leader might be able to find where you can go for professional help, you can also call your local WIC lactation assistance line (assuming they have one) or any other area IBCLC’s.

    But I hope it is being noted that the baby in the (very helpful) blog was not gaining well. In fact , baby was losing weight! that is the first clue the issue was milk transfer related and not (or not only) overproduction or oald. Oald on its own also may cause clicking, and often will also cause gas, but in those cases, baby usually gains well-in fact, often, very well. Of course, if a mom has overproduction, even a tongue tied baby may gain fine despite not latching really effectively just because there is so much milk.

    It sounds like you don’t want to ep, and I think that no matter what the problem is, eping would almost certainly be unnecessary.

  5. #5
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    Default Re: Clicking Sounds

    Dr. Kotlow is a pediatric dentist in Albany, and his site http://kiddsteeth.com/ has a lot of good info on lip and tongue ties. My little one had a lip tie and a posterior tt. She was gaining well, but I was having lots of pain. No one in our area would touch the lip tie especially, so we travelled to a dentist that uses laser to do the procedure. It made things a little better, but we are still having issues with nursing (including clicking noises), so it's definitely not a cure-all. However, depending on the severity of the ties, PTT can interfere with speech later on, and lip ties can contribute to tooth decay. So even if it didn't make as much difference with nursing as I'd hoped, I'm still glad I got it done.

  6. #6
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    Default Re: Clicking Sounds

    Quote Originally Posted by @llli*lllmeg View Post
    Posterior tt can certainly be a barrier to happy breastfeeding, and lip tie can be as well. Your LLL Leader might be able to find where you can go for professional help, you can also call your local WIC lactation assistance line (assuming they have one) or any other area IBCLC’s.

    But I hope it is being noted that the baby in the (very helpful) blog was not gaining well. In fact , baby was losing weight! that is the first clue the issue was milk transfer related and not (or not only) overproduction or oald. Oald on its own also may cause clicking, and often will also cause gas, but in those cases, baby usually gains well-in fact, often, very well. Of course, if a mom has overproduction, even a tongue tied baby may gain fine despite not latching really effectively just because there is so much milk.

    It sounds like you don’t want to ep, and I think that no matter what the problem is, eping would almost certainly be unnecessary.
    She said the baby IS gaining well, has clicked as long as she can remember, and has made no mention of pain. In fact, the way I read it, she didn't even view it as a problem until someone else told her it WAS NOT normal. I can't really understand going around and trying to create a problem where there isn't one. Which is exactly what doctors do when you bring them one. Diagnose. Which a lot times means guess. If the ONLY issue here is that the baby eats loudly, which is really all I see here, I am still not understanding how that makes the relationship cumbersome.

    Way too lazy for formula

  7. #7
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    Default Re: Clicking Sounds

    yes i read the ops post. that is why i pointed out that the baby in the blog, who otherwise displayed signs associated with foreceful letdown, was not gaining well. and i agree, op did not mention any pain from nursing. but i think op thinks the gas issue is a problem for her baby.
    i think we are on the same general wavelength. i generally agree with you these issues could be explained by ffld alone. on the other hand i see no particular harm from a breastfeeding standpoint in treating for tt or lip tie if baby is diagnosed with that. Will it help the problem if the problem is actually ffld? maybe not, but maybe a little, if the anatomical issues create an inability for baby to create a seal or handle the fast flow. certainly baby would need to be seen by a specialist before any surgical options are utilized anh hopefully they can best advise mom.

  8. #8
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    Default Re: Clicking Sounds

    Maybe I should've added that I do have mild nipple pain but it could be due to Raynauds syndrome. They are also blanched and somewhat lipstick shaped after nursing. My pain is not what I am concerned about though. He struggles at the breast even in between letdowns. The clicking is causing him to draw in so much air I can actually hear him swallowing it. This leads to explosive poops, lots of farting and burps long after he eats. Nursing him takes as long as it did when he was a newborn and he never "drains" my breasts. Sometimes he fusses and gets angry tugging on my nipples like he can't get what he wants.

    If there is no problem I don't want to create one but if there is one I want to correct it. I tried to correct this on my own with no luck. Sometimes you let issues go until someone points them out to you.

  9. #9
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    Default Re: Clicking Sounds

    Quote Originally Posted by @llli*squirmama View Post
    I don't think her issue is overactive letdown alone because she says the clicking is constant. Either way, she's thinking about exclusively pumping, which isn't a choice she takes lightly, so I think it's time to get the tongue and lip evaluated by an IBCLC. I only posted about the pediatric ENT so that she'll have a starting point for doing some research on her options in case she needs to find the ENT herself (like if the LC doesn't recommend one doctor in particular). If the ENT is listed on a breastfeeding-friendly website, there's a better chance they can help. Of course you'd want to do your research either way.
    My son clicked constantly. Until he didn't. Which when he was twice the OP's babies age. And clicking is not the same as a child who is resisting eating or can't stay latched. They make noise when they eat. That's pretty much it.
    Quote Originally Posted by @llli*qd View Post
    Maybe I should've added that I do have mild nipple pain but it could be due to Raynauds syndrome. They are also blanched and somewhat lipstick shaped after nursing. My pain is not what I am concerned about though. He struggles at the breast even in between letdowns. The clicking is causing him to draw in so much air I can actually hear him swallowing it. This leads to explosive poops, lots of farting and burps long after he eats. Nursing him takes as long as it did when he was a newborn and he never "drains" my breasts. Sometimes he fusses and gets angry tugging on my nipples like he can't get what he wants.

    If there is no problem I don't want to create one but if there is one I want to correct it. I tried to correct this on my own with no luck. Sometimes you let issues go until someone points them out to you.
    So my question to you was until your SIL pointed it out, did you view it as a problem? If someone hadn't told you it wasn't normal would you be seeking all these professional opinions? Because both my LLL and My LC tried to "correct" my son's clicking. But HE didn't have a problem with the way he ate. So neither did I. If your baby isn't getting enough to eat or is showing actual consistent resistance to eating THEN I'd be concerned. But gas and being sometimes fussy and taking a long time to eat, are not things that I connect to clicking. Those are all just normal baby issues. They burp, they fart, they cry and as they grow they eat for different lengths of time depending on what they are trying to get to happen. Your post seems to me like it wasn't an issue, it was part of your NORMAL, it was how he ALWAYS ate and it worked for him. But then someone said it was bad or wrong and now you feel like it's a problem. And if that is the case I am wondering what we can do to talk you off that particualr ledge?

    Way too lazy for formula

  10. #10
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    Default Re: Clicking Sounds

    It won't hurt anything (but your wallet perhaps) to get a second opinion on the tongue tie. maybe your ped doesn't have a lot of experience with tts. That said my son also clicked and gave me lipstick nipple until 5-6 months. There wasn't any constant pain though. His gas is also much better. I think sometimes moms worry too much about that and the lo's just need time to mature. You know your baby best so if your mommy instinct says something is wrong, pursue a solution. If it's simply your sister telling you so...pick and choose the advice you want to follow. Also babies swallow a lot of air with bottles as well as being a major inconvience to mom so I really don't think pumping is the best solution here.
    I'm kind of curious of what you mean by not sleeping well. Do you have a lot of experience with bfed baby's sleeping habits?

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