Or perhaps a less-obvious posterior tongue tie or lip tie? Here’s Dr. Kotlow’s webpage, I’ve reviewed several of the ones he has under Breastfeeding Health: http://www.kiddsteeth.com/dental-topics.php <http://www.kiddsteeth.com/dental-topics.php> One of his PPTs from 2012: http://www.laserdentistry.org/uploads/files/conference/2012/handouts/2012_handout_kotlow_aldbreastfeedinglecture.pdf <http://www.laserdentistry.org/uploads/files/conference/2012/handouts/2012_handout_kotlow_aldbreastfeedinglecture.pdf> Here’s a YouTube video of him doing an assessment. https://www.youtube.com/watch?v=5opSbXvL7yQ <https://www.youtube.com/watch?v=5opSbXvL7yQ> We don’t diagnose but we tell parents that we suspect a tight fenum or frenulum might be contributing to breastfeeding difficulties. We refer to a pediatric dentist in our area who trained with Dr. Kotlow. Anne Cassens, MS, RNC, IBCLC > > On Jan 22, 2016, at 2:38 PM, Isabella Mendoza <[log in to unmask] <mailto:[log in to unmask]>> wrote: > Been a long time since I posted: stumped on this one. > 3 month old boy, mediocre weight gain (not terrible though), has been spitting up since early on. He began vomiting breastfed breastmilk at about a month Mother is now only bottlefeeding EBM, which the baby tolerates beautifully, he takes 3oz in 10 minutes or less. She is really tired of pumping. When I suggested a (choke) nipple shield, she said she had already tried it and that it "tore up" her nipples. > Any thoughts? > Isabella *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome
