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 *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html