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Subject:
From:
Rick Gagne & Elise Morse-Gagne <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 25 Apr 2004 21:13:11 -0400
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To clarify a bit.
I've known babies to sputter a bit of milk out their nose and it always
seemed to me it was similar to when an older person laughs or sneezes while
eating and a bit of food goes the wrong way.  Just an uncoordinated moment.
This mother told me a few weeks ago this happens sometimes and I told her
it could be nothing much, or it could be indicative of a slight oddity in
the back of his mouth.  No other problems appeared, so we put the matter on
the back burner.  She saw me yesterday because she is now is having some
plugged duct / thrush / fussy baby issues, probably largely attributable to
a combination of recent stress and oversupply.
I have seen the baby nurse a couple of times but finally saw the
milk-out-nose yesterday.  It did *not* look like what I've seen before in
other babies.  For about half of a short nursing session (maybe 1 or 2
minutes out of 4) he blew or dribbled a couple drops of milk out his nose
with each swallow.  He appeared a little restless, but not upset, and he
did stay at the breast, I think because I was having the mother lean back
so he was facing slightly downwards onto the breast.  This happened on the
R breast (cradle hold) after he had nursed on the L breast w/o nasal
regurgitation, but the mother says it can happen on either breast.
As I said before, he is gaining very fast and her supply is very
plentiful.  I think a couple positioning refinements, plus taming her milk
supply a little, would take care of his occasional fussing and pulling at
the breast.  At that point there would be nothing the matter.  If he does
have a cleft (say, a submucosal cleft of the posterior soft palate?), and
if it is causing no problems at this point, does anything need to be
done?  What does she need to know about future management?  (I know -- this
is for her physician to handle.  I just want to know more.  I've never seen
a baby with any cleft at all, and all the literature I can lay my hands on
is about the severe ones.)
My most basic question remains: can the nasal regurgitation I described
happen just as a result of oversupply w/overactive letdown?  Or does it
strongly point to a palatal anomaly?
Elise

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