Hi Tina,

Could baby have a blocked nose (i.e. can't breathe and swallow at the same 
time) or have post nasal drip (i.e. sinus) - own personal experience, I know 
it can be worse when sleeping on one side?? She might "just" cope on the 
right breast but not the left, flow/supply might be less on the right.

Other thought - could she be getting some gag reflex issues since starting 
the solids?? - may have not been obvious before. Referral to speech 
pathologist/OT may be of assistance.

cheers
Del
*~*~*~*~*~*~*~*~*~**~*~*~*~*~*~*~*~*~**~*~*~*~*~*~*~*~*~*
Del Smith
Breastfeeding Counsellor
Australian Breastfeeding Association www.breastfeeding.asn.au


> ----- Original Message ----- 
> From: "Tina Lavy" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, November 29, 2006 11:35 AM
> Subject: Older baby who is now "choking" when brought to breast
>
>
> Permssion granted to post: Just had a conversation from a mom of a 7 month
> old baby who has not had any problems with breastfeeding before.  Mom
> stated that the baby is now "choking" (coughing/gagging) when she begins 
> to
> feed on the left breast, and only left breast.  Mom gets worried and 
> tenses up
> when she brings her to the breast because the situation makes her nervous.
> Started about 3 weeks ago.  My initial questions were: is baby getting 
> teeth?
> No, none have come through yet, but at this age would be normal and the
> gums could be sore or swollen.  Mom has not given orajel - which could 
> cause
> numbing and affect suck/swallow. Neither mom or baby have started any new
> meds. Baby has started some solids and we discussed that the tongue and
> jaw are used differently to move food around as well as swallow - which 
> may
> be affecting nursing (but why on one side?).  She is trying different 
> positions
> on that side as well.
> Does anyone have insight as to what might be occuring?  My next
> recommendation would be to refer to OCT.
> Thank you
> Tina Lavy, MS, IBCLC

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