Chayn,
Did you use fluid when you did the suck exam? Babies suck very 
differently with and without fluid. Sometimes those that seem good 
without fluid change their tongue movements with it. If the suck seems 
"fine" without fluid but mom is getting chewed up, I use an eyedropper 
or small syringe to give baby some expressed breast milk. One often 
feels what is being done to mom then.

Another reason why you might not feel a problem but mom might is the 
difference in gape between finger and breast. Baby has to open much 
wider for the breast than the finger. If a tongue is marginally tight, 
it will retract proportionally to the baby's gape, in other words the 
tongue pulls back more if the baby opens more. This exposes the lower 
gum and causes baby to bite.

Another possibility is the decreased milk production. Babies use more 
positive pressure when milk flow is slow. You will feel that on a finger 
in a healthy baby who sucks progressively harder when she or he does not 
get milk from the finger. Same thing happens on mom.

There are really only a few mechanisms for nipple compression - the 
latch is shallow, or the baby is using excessive compression with the 
tongue or jaw, or both.

If you are near Tel Aviv you could see if Dr. Eyal Botzer would see the 
baby. He's done several studies and articles on tongue tie, and came to 
the US to visit Dr. Coryllos and I and see her do posterior frenotomies 
in the office. He'd already treated some there, so he would be able to 
see if the baby had a subtle one.
Catherine Watson Genna, IBCLC  NYC

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