2 month old--gaining, has good output BUT "x(maternal) pain with breastfeeding"-- Can you describe--clenching/clamping/biting/bruising/burning/sharp/ etc.? Where located--entire/part of breast/areola/nipple? Hmm..."xbaby will not open wide/protrude tonguexbaby has a small, short tongue. The Dr. says this is not a problem (not her/his breast that are in pain! KKG). xwhen sucking on a finger she breaks suction/will not hold on well--curls tongue both the sides and front of her tonguexmom nurses almost constantlyx" I'm almost willing to say that if this baby isn't tongue-tied I'll eat my chocolate hat! Small, short, curling tongue--inability to maintain suction--constant and painful nursing--whoa! Curling in front may be "humping" effect related to inability to extrude. What does sucking finger feel like--peristaltic wave/stroking of finger or an up and down piston-like motion? (If you don't do gloved checks, how would mom describe?) Is there someone in your area who is familiar with ankyloglossia and can assess and perform frenotomy p.r.n. if pedi unwilling, e.g. dentist, ENT, etc.? This baby may be lucky to be gaining (and it won't necessarily continue with problem unresolved). However mom has a right to provide breastfeeding without having to endure pain, and unresolved ankyloglossia is associated with a fairly high rate of speech articulation problems. Karen