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Subject:
From:
Phyllis Adamson IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 15 Aug 2012 21:47:45 -0700
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Possible soft palate cleft that is tight enough to vibrate like vocal chords? yet set baby up for swallowing air as he nurses?
This could make it harder to handle a strong letdown, and make him very burpy or show s/s reflux.
If milk is on top of the air, it comes up with the burp. That means "wet burp" or "reflux".
The big giveaway is the popping off with every suck. That very often means a tongue or soft palate issue.
Needs much closer exam.
Phyllis

---- Todd & Rita Madden <[log in to unmask]> wrote: 

=============
Hi all,

I am at a loss here.  PTP.  Mom of a 1 month old says her baby breaks the suction/seal with every suck and makes a pig noise each time.  This is making her sore.  She noticed his uvula is somewhat short but didn't appreciate any other defect nor tongue tie and says his palate is normal.  (She is a family practice MD.)  She said she will pump 1/2 to 1 ounce of milk prior to latch and this seems to help a little.  

It sounds like tongue tie to me, but if she doesn't see it, could it be something else?  Baby is also being treated for reflux with Prevacid and she is on a lactose and soy free diet for the past 2 weeks.  She nursed her other 2 children for 1 year and 14 months respectively.

Thoughts?

Rita, RN IBCLC



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--
Phyllis Adamson, BA, IBCLC, RLC
Glendale, AZ.
[log in to unmask]

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