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Date: | Mon, 14 Aug 2006 13:02:19 -0400 |
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It sounds like there might be some structural issues (asymmetrical,
popping jaw) and perhaps some neurological ones. The neuro issues can
certainly be caused by pain, which disorganizes and dysregulates babies;
or the sucking issues can be caused by a minor neurological problem,
which leaves the baby a bit hungry, which increases the dysregulation.
Mom is observant, the excessive lip movement is compensatory, and when
baby is more "together" he can do a better job with his tongue and does
not need the lips as much. The sliding down to the nipple bothers me, I
almost always see this with those sneaky posterior tongue ties, or a
short mandible that changes the relationship between the jaw and
frenulum. Sometimes you can't see anything, until you slip a finger
under the tongue and lift it.
With a posterior tongue tie, some babies improve markedly between 6 and
12 weeks, even without intervention of any kind. Some continue to cause
pain until treated with frenotomy.
Catherine Watson Genna, IBCLC NYC
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