Janna, Sometimes I see this in babies who are having trouble holding a bolus of milk on their tongues for a controlled swallow. If the baby has a mild tongue-tie, it can prevent the tongue from grooving strongly enough to contain the milk that just entered the mouth. The baby is forced to swallow whether he is ready or not. Sometimes milk gets into the airway, causing incredible pain. Mom can help by leaning back when she breastfeeds so baby is more prone, this moves the milk to the front of the baby's mouth and allows the baby more time to swallow in a controlled fashion. -- Catherine Watson Genna, IBCLC New York City mailto:[log in to unmask]