At the risk of sounding like a broken record:
The tongue shapes the palate. If the palate is abnormal, tongue
movements are likely abnormal. So check the tongue (particularly for
tongue tie or other conditions restricting tongue movement).
The clicking adds to the probability that the baby is tongue-tied. What
seems to happen is this: The front of the tongue is unable to remain
sealed to the breast when the back of the tongue drops to create
negative pressure in the back of the mouth around the nipple. The
frenulum pulls the tongue down, creating the clicking sound. (You can
feel this happening on a finger if you fingerfeed the baby, it is even
more likely on the breast because the baby has it's mouth more open on
the breast, which is more of a challenge to tongue elevation).
I'd encourage mom to see a different LC.
Catherine Watson Genna, IBCLC NYC
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