What could this be ? I saw a three week old infant this week with a white thick coat on her tongue. She is exclusively breastfeeding. Does not use pacifier. I saw the mother for another purpose and just happened to notice the tongue. It was very obvious . The mother said her first child had had this as an infant and she was seen by ped who r/o yeast. There were no other signs on the oral mucosa just as there are none with this three week old --just this white thick coating on the tongue. She said the ped told it was within normal limits and not to worry about it . She was given Nystatin anyway which she used .She said the patch was there for several weeks. Did not affect nursing at least not in retrospect. I did watch as this baby nurse there was some inefficient smacking and clucking and mother states baby does not empty breast well on rt side and that nipple has been tender. I encouraged her to see ped and get yeast r/o and will give yeast care protocol . Dislike creating a problem if there is not a problem --but it did not look right to me. Seen anything like this --that was not yeast? Beadie Cambardella RN IBCLC Atlanta, GA *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html