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Thread: Lip tie, now what to do?

  1. #1
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    Mar 2013
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    Default Lip tie, now what to do?

    Okay, since my last post I have gotten a definite answer, but now I don't know what to do. Upon researching and looking back at previous posts on this website, I came across lip ties and my husband and I lifted up our daughters lip to find it staring at us smack in the face. And now that I've seen it i can even tell she's lip tied without raising her lip. Her shallow latch, never getting her mouth spread open wide on top and constant burping, recent clicking and chomping while nursing all make sense. But I have no idea what to do now. Is this something, because it has been interfering with nursing, that I seek out medical advice? I am astounded that we have made it this far so I don't want to risk losing the ability to breastfeed her. Is this under the care of a pediatric dentist? General pediatrician? Are there specialists for this? I did a laid back nursing session with her after finding out with her laid pretty much on top of me and she nursed beautifully! But I cannot do that while we are out. Has anyone gone through this or does anyone have any advice what steps I take now?

  2. #2
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    May 2006
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    Default Re: Lip tie, now what to do?

    How old is your LO?
    Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
    Coolest thing my little girl sang recently: "I love dat one-two pupples!"

  3. #3
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    Mar 2013
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    Default Re: Lip tie, now what to do?

    oh sorry, she's going to be 4 months next week.

  4. #4
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    Default Re: Lip tie, now what to do?

    Okay, if she's gotten to 4 months and managed to get enough to eat, I don't think you need to worry that the lip tie is going to impact her ability to get enough milk in the future. Babies tend to get better and better at nursing as time goes on, even babies with various types of differences in their mouth anatomy.

    That being said, yes, please do see someone about the tie! You never know who will have knowledge and experience with relatively rare issues like lip ties, so I would start with the pediatrician but also call your local pediatric dentists and otolaryngologists (ENTs).

    Are you sure the tie is the source of the clicking, chomping, and burping? All those issues sound like things that happen when a baby struggles with a fast milk flow, and the first approach to try when treating fast letdowns is to do reclined feedings.
    Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
    Coolest thing my little girl sang recently: "I love dat one-two pupples!"

  5. #5
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    Mar 2013
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    Default Re: Lip tie, now what to do?

    I have thought very often that our problems were over active milk supply and or let down, but recently the clicking and loose latch started and she would just pinch my nipple most of the time and leave my breasts still feeling full, making me fear that she wasn't getting enough milk because of some uncomfortableness. My worry is that things will get worse for us with the lip tie because of her inability to roll back her upper lip. And she has started squeezing my nipple into that weird shape with a white ridge at all nursing sessions instead of just on occasion. I guess there is really no way to know for sure what problem is causing the pain for me and her discomfort. I am doing the laid back nursing now, which seems to help greatly, although very awkward right now. I plan on contacting the pediatric dentist and her primary pediatrician this morning. Thank you for your response and your help, it seems like nursing has become one obstacle after the next to overcome and it scares me that she won't get enough to eat.

  6. #6
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    Nov 2012
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    Default Re: Lip tie, now what to do?

    Personally, if I could find someone with experience to have it lasered and could afford to do so, I would. It's a relatively minor procedure when they're babies, and there's some thought that having a severe lip tie (with the membrane close to the bottom of the gums) can cause issue with tooth decay or speech development. It may not solve your nursing troubles, but if you've tried everything else, it might be worth looking into.

    Just my two cents though

  7. #7
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    Default Re: Lip tie, now what to do?

    It sounds like you have a lot of oversupply symptoms. In addition to the clicking, clamping, and gassiness, do you ever see any or many of the following:
    - frequent feelings of fullness or engorgement
    - lots of leaking
    - ability to pump out a lot of milk with ease, if you are pumping
    - baby may pull off the breast while nursing
    - baby may feed rapidly, in as little as 5-10 minutes
    - baby's poops may be frequently or consistently green
    - baby may cough, gag, or splutter while nursing
    - if baby pulls off the breast during a letdown, you may see milk squirting or streaming from the breast
    - baby may gain weight very rapidly

    Often what happens with oversupply and fast letdowns is that as time goes on, the baby figures out how to adjust her latch to control the milk flow. Some babies will do this by pulling off the breast during letdowns and waiting for the fast flow to subside. Others will manage it by compressing the nipple (I.e. clamping down on it), which works like crimping a hose does, to slow down a rapid flow of water.
    Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
    Coolest thing my little girl sang recently: "I love dat one-two pupples!"

  8. #8
    Join Date
    Mar 2013
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    10

    Default Re: Lip tie, now what to do?

    I know at around 2 months I was wondering about the oversupply problems, because she had on or two poops that were greenish, but I "handled" that and all has been okay since then. She actually has the opposite of the weight gain rapidly, hers is very slight, and she usually has extended periods of nursing, falling asleep a lot of times. the only times that she comes off quickly, I have finally figured out, is due to her almost sliding off, like her latch is so loose. I do think some of the new clamping down is from teething but I know that the other symptoms are indicative of problems latching and staying latched due to her definite lip tie and possible possible tongue tie. She has 2 apointments scheduled now, one tomorrow with the local pediatric dentist that will be able to look at her for initial prognosis and then we have her scheduled for a consult with a specialist in this field for early July. I will post our findings and what they say to do or what her prognosis is. I feel so bad for her that I hadn't noticed this before and I wonder how many other struggling moms out there who can't seem to get baby latched right have similar problems with their babies tongues and lips.

  9. #9
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    May 2006
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    Default Re: Lip tie, now what to do?

    Okay, since weight gain hasn't been rapid I think you're following the right path by going in to the dentist/specialist. If she was gaining weight really well, then I would think that a trip to the doc was overkill, because the symptoms you describe can, and usually are, caused by fast letdowns.

    Kudos on paying such close attention to your baby and figuring this out! I am still kicking myself over my nursing experience with my first daughter- in retrospect, I'm pretty sure she had a posterior tongue tie and I, and everyone else, totally missed it despite the fact that her bad latch nearly wrecked breastfeeding for both of us.
    Coolest thing my big girl said recently: "How can you tell the world is moving when you are standing on it?"
    Coolest thing my little girl sang recently: "I love dat one-two pupples!"

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