What mom described about sandpaper tongue I have heard before and seems to  
be caused by an in and out motion of tongue that is restricted by tongue  tie.  
I think it's important to keep in mind that even minor tongue tie,  
especially posterior ones, can be causing nipple damage since baby is using  tongue 
incorrectly to compensate for inability to move it down and out and  remain there 
throughout a breastfeed.  Sometimes, the tongue is able to  remain over lower 
gumline but posterior tongue bunching occurs which I've seen  and had moms 
describe as the tongue rubbing like sandpaper.
 
Barbara Latterner, BSN, RN, IBCLC



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