Mary, While the submucosal cleft is a possibility, did you do a digital suck exam? Did the baby by any chance have high concavity (ie "bubble" palate) in the roof of the mouth? Or was baby tongue thrusting? Dropping jaw too much and losing tongue contact? I've seen clicking many times, and for various reasons. A highly allergic baby may exhibit a poor suck and clicking. If you are truly suspicious of the cleft, you might check to see if the baby has a single or split uvula--- that apparently often goes along with the submucosal condition. If not, you might consider the suck assessment, if you already have not done it, before referring on. I do not necessarily trust all the other specialists to pick up on the right thing regarding breastfeeding, as they seldom are examining problems from the angle that we are. -Lisa ************************************************* Lisa Marasco, BA, LLLL, IBCLC [log in to unmask] / [log in to unmask] *************************************************