Rachel,
I would suggest an elimination of pro-inflammatory foods--primarily gluten and dairy. I have seen this work almost like magic. I would also suggest she use castor oil compresses, homeopathic phytolacca and she can even juice parsley--be careful not to drop supply too much w it.
Jennifer Tow, IBCLC, USA & France
Intuitive Parenting Network, LLC
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Date: Wed, 8 Jan 2014 17:14:09 +1000
From: vgthorley <[log in to unmask]>
Subject: Re: Lip Ties & dental erosion & acid reflux
On the matter of lip ties and dental caries, as well as impacting on
breastfeeding, you might like to search the Journal of Human Lactation for
two articles by dentist Dr Larry Kotlow. The mot recent was in JHL 2013
(Nov); 29(4): 458-464. The other article appeared in Aug 2010. If you can
access these article they may answer some of your questions. Certainly, for
some children this provides an answer to certain types of dental erosion,
when for years it has been usual to blame breastfeeding.
A cause of another pattern of dental erosion seems to have been largely
ignored in infants and toddlers (well, it's easier just to blame
breastfeeding into toddlerhood and not investigate). I've seen this
described in adults - erosion of molars in individuals who have acid reflux
that reaches the mouth. If such erosion occurs in adults who reflux, why not
in infants who reflux? Some food for thought.
Virginia
in Brisbane, QLD, Australia
Melinda wrote (and Jane before her):
Good point, Jane, about the relationship between lip ties and dental caries.
I wonder about if/when a pediatric dentist or other provider would revise a
tie that is not inhibiting feeding --do they wait until caries occur, or do
they clip ties preventatively?
My experience is in observing Dr O'Hara in Seattle, who mentioned that many
lip ties (that are not causing problems with breast-feeding) will "revise"
themselves in the course of typical childhood injuries. She did not (that I
know of) perform any 'preventative' lip tie revisions.
Melinda Harris Moulton FNP, IBCLC
Olympia, WA
Sent from my iPad
> On Jan 6, 2014, at 8:03 AM, wrote:
>
> When it comes to lip and tongue ties, we need to have input from dentists
> who are into preventative care. I have seen babies who successfully
> nursed despite lip and tongue-ties turn into babies with "bottle-mouth
> caries"! I am wondering in cases where dentists are blaming nighttime
> breastfeeding for caries, if what is really the problem is lip ties. This
> causes excessive pressure on soft tooth enamel of erupting teeth,
> especially the top ones - and voila! - cavities in the top teeth!
>
> -----Original Message-----
> From: Lactation Information and Discussion
> [mailto:[log in to unmask]] On Behalf Of Melinda
> Sent: Saturday, January 04, 2014 9:51 PM
> Subject: Re: Lip Ties
>
> I am eager to get others opinions. I am on the tongue tie support site on
> Facebook, and have noted lots of talk about both tongue and lip ties--but
> I guess that's what one would expect on a site devoted to this issue.
> I believe the interest in 'ties' over the past decade is that many women
> with very sore nipples, who would've just switched to bottle feeding in
> previous years, are now seeking out the causes for such pain and ways to
> correct it.
> I am an advocate of revising lip and tongue ties, but only when they
> prevent a successful breastfeeding relationship. IBCLC's need to be able
> to perform an oral exam/ assessment in addition to a feeding evaluation to
> determine the effect a tie is having.
> Melinda Harris -Moulton FNP IBCLC
>
>
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Date: Wed, 8 Jan 2014 08:35:52 +0100
From: Rachel Myr <[log in to unmask]>
Subject: need help with difficult oversupply case
I'm trying to help a mother who since her second baby was born 3 weeks ago
has been struggling with oversupply. Full drainage gave immediate relief
but she was already very sore as baby was tongue-tied and holidays delayed
getting that fixed. Baby gained well despite ineffective feeding because
mother was producing buckets from day 3; after frenotomy baby feeds well
and sores are healed. At one week she had ramoant mastitis, started
antibiotic treatment as clinically she was very ill. Cultures from sores
and from milk were positive for S.aureus and Group B strep, but antibiotic
covered both. During mastitis she drained both breasts at least 8 times/24
hours. Drinking sage tea, one cup per day divided in three doses, have not
seen any noticeable effect but we don't know how much she would be
producing without it.
Throughout this time, she has had deep burning pain in both breasts,
worsening immediately after feeds, and peaking an hour or two later, not
totally subsiding in time for next feed or expression. Heat applied to
breasts after feeding/expressing gives little relief. The only time she was
pain-free was the first time she tried full drainage and block feeding,
when baby was five days old. Normally I don't recommend this method so
early but her history of extreme oversupply with first baby made us think
there was little to lose. Now I am not sure.
The mastitis has been treated, but she still has the pain, and the
oversupply. We are trying block feeding again, cautiously, but after less
than 24 hours her breasts are tense, overfilled - and PAINFUL. She is
exhausted besides. Wants very much to continue breastfeeding but also wants
this long drawn-out painful stuff to stop.
I am not sure what to try next. We are open to all suggestions.
Rachel Myr
Norway
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End of LACTNET Digest - 7 Jan 2014 to 8 Jan 2014 - Special issue (#2014-15)
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