If a baby is retracting his tongue and biting with the gums, the areola
could become bruised or puffy. The compression on the nipple could cause
vasospasm or blanching. You know what I'm going to say here - check for
tongue tie, short jaw, and shallow latch. Sometimes sucking only becomes
painful as the baby develops more effective compensations for reduced
tongue mobility.
Catherine Watson Genna, IBCLC NYC
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