I just read through all of the posts about laryngomalacia.  I have a few questions.  The baby I saw today has a lot of the signs of laryngomalacia.  She is 4 weeks old born healthy at 38 weeks.  From the first swallow at breast she has trouble.  We thought it might be the letdown, but she has trouble during the entire feeding even when milk flow is slow. She has stridor during inhalation. She can only suck a few times then has to stop to breathe and frequently has to come off. Her eyes are wide open and you can tell she is struggling. She sounds like she is swallowing a lot of air.  Her lower lip does not seem to seal well-you can easily see her tongue, but she has a strong rythmic suck. Mom told me she does much better sleeping on her stomach. She never falls asleep at the breast. I watched her suck on a pacifier and she does fine with that, she is relaxed and has longer sucking bursts.  After breastfeeding she burps alot and is fussy and gassy. And yes, the doctor is treating her for reflux.  She is gaining weight well, although mom is willing to nurse her on demand which is every hour.  Mom stated baby seems more relaxed at night and breastfeeds better and sleeps better at night-but a good night is the exception.  During our visit I didn't notice any breathing issues when she was not eating. She was relaxed and alert during diaper change. If a baby does have laryngomalacia do they always having breathing issues/stridor when not feeding or can some babies  have it only during feeding? What type of specialist should I reccommend she see?  I read about different diagnostic tests.  Is it easy to diagnose?  Thanks for your time!

Christine Lichte, IBCLC

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