IBCLC Appointment!

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Nell4Him's picture
Joined: 10/25/06
Posts: 2455
IBCLC Appointment!

So the IBCLC I had my doc refer us to called today! Yahoo We have an appointment Friday at 12pm (PST) with her for evaluation of lip and tongue tie and then she made us an appointment with a Ped in her office that fixes them at 1:40! Smile

So.. not only are we having it diagnosed properly, but we are also having it fixed in the same day!

We have to drive an hour to get to them and DH is taking a day off of work to come hold my hand. My dad is going to watch the boys here at home while we go.

I will also ask her if she thinks that DS#2 might have a lip and tongue tie as well based on the fact that he's always had trouble choking on food and is now in speech therapy and we've been told by his early intervention teacher that his upper lip is stiff. He has trouble lifting his tongue to the roof of his mouth and can barely run it across his upper lip from corner to corner. (this makes me think he just might have a lip and tongue tie). I'd bring him with, but I need DH to "hold my hand" during the procedure, not keep him from seeing his baby sister cry. He's 2 and loves baby sister and would NOT deal well with that.

Anyway, I'm excited we get to get it done this week! Yahoo

Joined: 01/25/02
Posts: 2023

yay!! I hope it helps a ton! Interesting about ds possibly having the same problem.

Amber_daisy's picture
Joined: 10/17/06
Posts: 567

GL!

alwayssmile's picture
Joined: 08/26/07
Posts: 14483

Waiting for an update. :mrgreen:

Nell4Him's picture
Joined: 10/25/06
Posts: 2455

I'm just gonna copy and paste from my birth board. I'm very tired right now.

I'm tired and it was a long day.

Warning, over supply mentioned:

Briefly, no tongue tie whatsoever and the lip tie, while very thick and prominent, is not affecting breastfeeding and the doc was not comfortable clipping it because of how thick it is. He suggested referring to a pediatric dentist in a while to see what their opinion is about clipping it. He said, that likely, she'll "break" the tie accidentally falling and hitting her face when she gets older and learns to walk. He warned us that it will bleed a LOT when and if that happens.

He examined her mouth quite extensively after the IBCLC ruled out lip and tongue tie for cause of the nipple trauma. Her tongue has a great range of motion, out, up, side to side, and curving (around fingers and such). Her palate is perfectly shaped, no bumps or indentations. Our latch (while still difficult to achieve consistently) is deep and she took 3 oz off the first side alone.

The IBCLC confirmed forceful letdown symptoms and stated that it's probably the main issue combined with her mouth is small. She suggested football hold for her to get a better shape to her mouth (she was keeping the side of her mouth that I couldn't see sucked in, but the side I could see was flanged fine) and stated that her chin is slightly recessed and I have to attempt to give her a double chin to get it so that my nipple is not blanched and squashed when she's done eating.

While we were feeding I had 3 letdowns inside a 15 minute feed where she got 3 oz. The IBCLC was impressed by that. She said that I'm very lucky to have such efficient breasts. (side note, if I have such a great supply... how come my cup size is smaller than with my last baby where I leaked all the time and forced him to pop off the breast cause he couldn't control the flow?)

She also was able to confirm vasospasms, noting a classic tri-phasic color pattern while I was experiencing the pinching sensations deep inside my breast tissue. The tip of the nipple went white, purple, pink. These are likely caused by the trauma of Evie clamping and thrusting my nipple up to the roof of her mouth while trying to control my forceful letdownS.

She helped me to get her latched on in the football position (not easy on my back.. this is going to take practice) and when she came off my nipple was not blanched and squashed like usual, it was the ideal "raspberry" nipple.

So, long story short. No clipping. Possibly later after we figure out who would be doing it and whatever, but only for the lip as her tongue has nothing to clip.

Am I relieved? Slightly. Am I still in pain? You betcha! And I expect to be in pain for a long while still until her mouth becomes big enough that gape is not an issue and I can achieve a "perfect" latch every time. Is she worth it? Most definitely!! Just bare with me while I clamp my jaw on her binky handle every time we nurse.

I'm one stubborn momma.

Also, I did not discuss DS#2 with her as it was apparent that Evie does not have a tongue tie. It's still possible that DS has one, but I'm not going to pursue it right now. I will, however, talk to his speech pathologist about what her opinion is when she comes over next Thursday.

Nell4Him's picture
Joined: 10/25/06
Posts: 2455

Oh yeah, and she has a mild case of thrush again. :confused:

mommycarrie's picture
Joined: 09/07/06
Posts: 358

Sad I'm so sorry she couldn't give you relief. Sad But at least it sounds like you got some detailed information for the future. My DD has a strange latch too (I believe caused by a high palate) and she clicked at every feeding for the first 2-3 months. I was lucky that although her latch was ugly, she didn't cause me too much pain. I'm sorry that you're still hurting and I hope that when the thrush clears up (and with the football hold) you get some relief.

alwayssmile's picture
Joined: 08/26/07
Posts: 14483

Glad to hear that you did get some help and a lot of pointers. Hope things keep improving!

Nell4Him's picture
Joined: 10/25/06
Posts: 2455

Had to look up videos on how to do the football position for nursing. My problem is that she kicks the back of the seat (reflex) and if I sit forward so that she can't, then my back is unsupported and I have weak back muscles. Well, there was a video with a lady holding the baby so that his legs wet up the back of the chair. This is working okay for me. I'm swaddling her arms down before nursing so that her hands aren't in the way of getting a good latch. It's gonna take patience and practice, but we'll get there.

Mommyin0406080912's picture
Joined: 02/16/08
Posts: 1644

How has the feeding gone the last few days?

Wade had a tounge tie that they would not clip and he broke it himself about 15 months with a fork. It was bleeding a lot and had to go to the er but it's fine now no dammage done.

At what age do they want you to take her to the dentist to have the lip looked at?

Nell4Him's picture
Joined: 10/25/06
Posts: 2455

"Mommyin04060809" wrote:

How has the feeding gone the last few days?

At what age do they want you to take her to the dentist to have the lip looked at?

The feedings are going okay. I've only been able to do the football hold some of the time. For some reason I'm having a hard time keeping her latched on the right side, especially in the evenings. :confused:

As for when, I need to talk to my doc about that. The ped we saw was the one the IBCLC works closely with. I'm not sure what my doc is gonna reccomend. She had to have her own lip tie clipped in jr high because of dental problems, so she has a personal story to "help" the decision. I'm going to call to ask her tomorrow.