Subject:
Re: weird velum
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Date:
Tue, 24 May 2005 10:05:11 -0400

To:
Lactation Information and Discussion <[log in to unmask]>


I'd bet that the soft palate is the issue. I do have several kids in my
practice who have velopharyngeal insufficiency (poor tone or structure
to the soft palate, so it cannot seal off with the pharyngeal walls).
They are inefficient feeders, and sometimes even hate feeding.
Does this little guy have nasal regurgitation? If milk comes out of his
nose, even just occasionally when he vomits, that's a sign that the
velum is not doing it's job.

Peek under his tongue too. I often see Epstein's pearls in tongue tied
babies, especially those with those sneaky posterior ones - tight but
far back enough that no one catches it. Usually a baby with a posterior
tongue tie will not be able to lift the tongue during crying. I imagine
if you could see into the mouth well enough to visualize the uvula while
this baby cried, he was not lifting his tongue either.
Catherine Watson Genna, IBCLC  NYC

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