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Thread: Clicking Sounds

  1. #1
    Join Date
    Sep 2012
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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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    Oct 2012
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    Default Re: Clicking Sounds

    Hi!

    My LO has just been diagnosed w/ posterior tongue tie and upper lip tie. His symptoms are just like you described! With a posterior tongue tie, the baby can usually stick his tongue out of his mouth so it is often missed when looking for tongue tie. It can have a real impact on nursing, so I'd suggest that you find another IBCLC who can play with the baby's tongue to check out its range of motion (not just whether your LO can stick it out). The examination took maybe 15 seconds and my baby was mildly annoyed, but it was worth it because we're getting it clipped Thursday and hoping for happy nursing days ahead!

    My LC recommended a pediatric ENT who can clip the tongue tie and lip tie for us. There's also a partial list of places that clip tongue ties here: http://www.lowmilksupply.org/frenotomy.shtml

  3. #3
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    Oct 2012
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    Default Re: Clicking Sounds

    I found a few tongue tie stories online and could really relate to the issues they described. Here is one you might relate to as well:

    http://www.babyfriendlynl.ca/blog/wh...e-tale-part-1/

    http://www.babyfriendlynl.ca/blog/wh...e-tale-part-2/

    http://www.babyfriendlynl.ca/blog/wh...e-tale-part-3/

    I also thought the problem was oversupply, then I thought it was reflux. I didn't really think it was tongue tie because my baby was gaining well, which it turns out is really just due to my persistence and his. Lots of fussy feedings, breast resistance even when hungry, restless sleeping, gas waking him up, spitting up LOTS...clicking during feeding, choking and coughing (and not just during letdown)...he also pees a lot and has kind of watery stool which might be due to getting lots of foremilk and less of the harder to reach hindmilk. We'll see if that changes too, but mostly I'm just hoping for his feedings to not feel like battles anymore and for him to sleep happily too. It took me so long to figure this out because everyone kept telling me that fussiness during feeding was normal if he was gaining okay or people would suggest that maybe he just didn't want to eat (even when he was grizzling on my chest with his mouth open). Trust your mama instincts and keep pursuing this until you get answers! P.S. I've read that bottles don't always help because the tongue tie causes issues coordinating breathing with swallowing. It could cause feeding and speech difficulties later in life too, so I recommend getting it looked at soon.

  4. #4
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    Sep 2012
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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!

  5. #5
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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

  6. #6
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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.

  7. #7
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    Nov 2012
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    Ontario
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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.

  8. #8
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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

  9. #9
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    Jun 2009
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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.

  10. #10
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    Oct 2012
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    Default Re: Clicking Sounds

    In my case, reassurance from everyone else was counterproductive and just kept me from getting help, so I'd urge her to go to an LC if something doesn't seem right. I wasn't in pain, but it turns out my baby is/was and every time I was about to get it checked out, someone well-meaning told me that it was something milder or that it was nothing at all and so I pressed on and thought my baby's inability to stay on the breast and resistance to feeding was a personality quirk.

    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.

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