Dear Karolina,
 
You are such a wonderful mom to power on providing plenty of  breastmilk 
for your baby, in spite of this frustrating dilemma, and while also  doing so 
much to try to solve these problems and challenges. If feeding at  breast 
seems too stressful/painful/difficult for baby and you, how would you  feel 
about feeding pumped or *hand expressed milk more via bottle for a  while? 
..with lots of STS, let his little airway and your nipples rest while you  
continue this quest for solutions. ....
 
Questions:
-Has your nipple pain and his airway issues been occurring since the  
beginning of breastfeeding?
- If not, when did those problems begin?
-any difference after TT released?
-suck eval with finger: is tongue cupped, extended, and undulating?  does 
he chomp on finger?
-Did anyone have an answer as to Why his adenoids would be so  enlarged?
- you write that he has less respiratory issues with bottle feeding, does  
that mean he has absolutely no respiratory issues between feedings?
-what is the medical plan, before any surgery discussion, to decrease  this 
80% airway blockage by the adenoids? ....I am baffled as to how it could be 
 80% airway blocked without some kind of respiratory distress all the  
time. 
-What is the situation regarding allergy evaluation? ...any environmental  
allergens that maybe other family members are sensitive to?...cats, dogs, 
mold,  horses, feathers...
 
Wondering if someone is going to chime in re CST. If you go that route be  
very picky about finding someone *super* experienced with babies and gentle 
with  babies.
 
Try gently massaging his jaw before breastfeeding with you in a reclined  
position, breast propped up on side with pillow and or rolled towel.
 
 
 
Debbie Tobin RN, BSN
Retired peds/mother-baby nurse,  20yr IBCLC
Fairfax County, Virginia suburbs outside the Washington DC  beltway

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