Hi Lyla, Frequently when a baby seems to be miserable after feeding, needs a lot of burping,a nd is gaining too much weight, I suspect that either mom has a huge milk supply or baby cannot handle the flow, or both. Normal labial frenula allow the lips to be neutrally flanged, not turned all the way outward (that is a sign that baby is sucking with the lips and/or latched shallowly.) If the upper labial frenulum is tight, it will generally be inserted into the apex of the gum ridge, causing a gap in the central incisors when they come in. Naive palate is my *hypothesis* for the cause of hyperactive gag in babies with bubble palate. Don't bank on it, but do look and see if you agree with me. An OT or speech/feeding therapist might be helpful, as well as an ENT or oral surgeon to screen the baby's lingual frenulum. GOod luck with this tough case. -- Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask] *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html