On 13 Dec 2002 at 14:17, Mathews, Lois wrote:

> Helpppppp, I had a patient come in today with severe clicking when
> nursing at the breast. Assessment showed good latch. good nipples
> except left red and tender after baby finished but also left breast
> sl. engorged and that caused the nipple to be flatened, however when
> baby on right breast which was soft she made the same noise. Milk was
> very abundant. ... Had another IBCLC here at hospital come and take a
> look and we are both puzzled. What have I missed? ... When baby finished
> on right side nipple looks normal shape but clicking is very loud
> during the whole feeding. I have seen clicking when swallowing but not
> when actively nursing. You can hear good milk transfer. Any
> suggestions?

I had a similar situation with my second child.  The LC determined he needed
"suck training" (he was five/seven days old at the time), that he was balling
up his tongue in the back of his throat when he was sucking.  My right nipple
worsened; left was sore.  Did suck training help?  It was a very frustrating
time for all of us.  I found it very difficult to do accurately and
eventually gave up on it; pumped and repeated put him to breast.  When it
hurt or I felt like he was "bunching" his tongue, I took him off and switched
to other breast (left) and so on.  Latch was extremely important through all
of this.  He is now 14months and nurses just fine.  Hope that helps!

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