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6 weeks old
2 Q's vomiting & tongue Tie

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#1 Bella86

Posted 05 February 2013 - 10:01 AM

Hi all

My dd is now 6 weeks old and has vomited since birth however since she is gaining weight the nurse suggested it was her just over feeding and bringing up the excess. I have since only give her 1 side (bf) but its not helping after every feed she throwing up out her nose and mouth. I've tried feeding her more upright, sitting her up for awhile after feeds she still brings it up if not instant it will come up later with little lumps. Sorry for TMI.

She also seems quiet windy and in pain when she was a few days old I noticed she has a heart shape tongue and the nurse suggested it was tongue tie and to get it "snipped" and that was causing her the wind (you can actually hear her suck in wind) the Dr we saw said he can't snip it she just has a short tongue.

I really don't know what to do she doesn't sleep during the day she would be lucky to get a few hrs, at night she self settles and sleeps around 3-4 hrs between feeds.

Any help I'd be greatfull TIA

#2 FeralAlpacaWarrior

Posted 05 February 2013 - 11:25 AM

Do you mean little vomits (posits) or big vomits? Big vomits could be reflux.

#3 Bella86

Posted 05 February 2013 - 11:27 AM

Big vomits enough to have to change her.

#4 lucky 2

Posted 05 February 2013 - 01:13 PM

Could you see a LC to assess her tongue and feeding, a heart shaped tongue usually means there is a tongue tie.
Do you mean she is clicking when she is feeding, the click can be when she loses the suction on your breast during sucking, it can happen for some or all sucks and it's sort of like the breast isn't stable in the mouth, it slips about.
This is also a sign of tongue tie.
Could you see a different Dr?
If you are in Melb I do have some recommendations re Drs who are experienced with tongue ties.

#5 Paddlepop

Posted 05 February 2013 - 01:33 PM

Please get a second opinion about your DD's tongue. It sounds like it has the characteristic shape of a tongue tie.

Unknown to me, my DD had a tongue tie. I only worked it out when she was about 2.5yo. Last week at 3yo she had it corrected under a GA in hospital and has stitches. The difference in how far her tongue comes out is amazing.

I think that up until about 4 months old it should be a simple cut in a doctor's office with no stitches or anything else needed, except for an immediate feed to calm and soothe baby. After this the frenulum under the tongue starts to develop nerves and blood vessels, and correcting the tie becomes much more complicated eg my DD.

Please go to a GP, and get a referral to a paediatrician if necessary. Make sure that it is one who is willing to correct the tongue tie, and get an appointment for before your baby turns 4 months old. Or, as lucky 2 has suggested, see a LC or other breastfeeding professional for assessment of the tongue.

#6 lucky 2

Posted 05 February 2013 - 01:35 PM

Paddlepop I think it is best that baby be under 3 months of age, but 4 would be great!

#7 emm79

Posted 05 February 2013 - 01:54 PM

My little boy was TT, I noticed it within about 20 minutes of his being born!  It wasn't pulling back much, more flat rather than the full heart shape, but it affected him enough that he couldn't actually latch on, and I had to use a nipple shield until it was snipped when he was 4 weeks old (after expressing and syringe feeding him to start with before we started using the shield).

It sounds to me from your description like your DD has a TT, and wind certainly comes with the territory.  Whereabouts are you?  Maybe someone in the city your in, or nearby, can recommend a Dr or paed who deals with TT's.

While it might only affect her feeding now, if it's a more severe TT, it can also affect teeth development and speech development further down the track.

edit for double post

Edited by emm79, 05 February 2013 - 01:55 PM.

#8 Bella86

Posted 05 February 2013 - 02:58 PM

I'm in melb ladies so any advice would be great, the dr we saw was a oral surgeon who my LC put me onto he does them every day.. Although on the day he couldn't get a great look he just brushed it off as a short tongue.

#9 lucky 2

Posted 05 February 2013 - 03:15 PM

QUOTE (Bella86 @ 05/02/2013, 03:58 PM) <{POST_SNAPBACK}>
I'm in melb ladies so any advice would be great, the dr we saw was a oral surgeon who my LC put me onto he does them every day.. Although on the day he couldn't get a great look he just brushed it off as a short tongue.

With your LC passing you on to him and if he is an oral (?paed) surgeon you'd think it would be ok then?
When you say he didn't get a great look what do you mean, ie was he actually able to see under his tongue?
Tricky, could you have another chat with your LC and ? another visit to follow up post the surgeon visit and to review the possiting?
All the best.

#10 Bella86

Posted 05 February 2013 - 05:43 PM

This is her tongue

#11 Paddlepop

Posted 05 February 2013 - 06:37 PM

Wow! That does look like a tongue tie shape! Very classic.

Have you looked under her tongue to see where the frenulum (stringy joiny stuff) starts in relation to the tip of her tongue? My DD's was right to the tip of her tongue. It looks like your DD's must start right near the tip too. Since her surgery last week it is now way back, and much more like my own tongue. We also found out that my DH has a tongue tie that he was unaware of. Tongue tie tends to run in families.

If you have trouble holding your DD's slippery little tongue it can help to use a muslin wrap or piece of gauze or something similiar to hold the tongue. Or just wait till she is crying really strongly and have a look then!

I'm very surprised that the oral surgeon just dismissed your DD's tongue like that, especially because he was recommended by the LC. Contact the LC again and explain how the appointment went, and ask for another recommendation. You could also ask lucky 2 to PM you the names of doctors she knows who will do tongue tie release. Alternatively, just start calling paediatricians and asking if they will do a tongue tie release, and then go to a GP for the referral once you find one who will do it.

It sounds quite miserable for your poor little bubba to be vomiting up so badly after a feed, and such a mess for you to clean up. My niece had reflux and it was such a relief for my brother and SIL once she was able to walk and be upright and it stopped eventually.

Trust your mother's instinct.

#12 lucky 2

Posted 05 February 2013 - 07:04 PM

Does your little one stick her tongue out any further than that?
Does it lift at all in her mouth, ie when she cries?
If not that may be because it cant go any further forward or up, ie it might be "tied" down?
I'm not saying it is or isn't "tied" or trying to "diagnose" a tongue tie over the net (I cant and shouldn't).
I've put in a link to some other pictures of babies with tongue ties so you can form your own opinion.
How about calling your LC tomorrow for a chat re what has happened, she knows what it looks like.
All the best.

#13 Bella86

Posted 05 February 2013 - 07:21 PM

That's her poking it out so no doesn't go any further. When she is full on crying you can see the bit underneath but it's really hard to get a good look. I'll follow my gut and get a second opinion.

#14 Bella86

Posted 14 April 2013 - 07:50 PM

Just thought I'd update...
I got dd's tongue checked again and confirmed it was infact TT so we had it snipped and wow what an amazing change she can now touch the roof of her mouth,poke it out ect hasn't helped with the vomiting though :-(

#15 Paddlepop

Posted 14 April 2013 - 08:15 PM

Fantastic news about the improvement in tongue movement! It's amazing to see the difference once the tongue tie is released. I know that seeing DD lick her lips for the first time ever when she was eating her post-surgery ice cream was as exciting as when she crawled or walked for the first time

Are you still breastfeeding, and if you are, has it improved now that your DD's tongue is released?

I'm sorry to hear that the vomiting hasn't improved. Has she been checked for reflux?

I'm very glad that you followed your gut and got a second opinion about your DD's tongue.

#16 twirling

Posted 14 April 2013 - 08:59 PM

My DD4 vomited after every feed for the first 2 months (not TT). It would soak her, me and the waiting towel! She was still putting on weight, very windy and unsettled. For us I think it was my milk coming too fast, though she coped just fine with it I think she got alot of foremilk, less hindmilk, extra wind and it was giving her an unsettled tummy (she also had terrible poos, not normal BF poos). I tried laying down to feed her but it usually just came out her nose then. I stopped eating most things in my diet, just bland stuff. Only ever fed her one side and leaned back on lounge chair to try to slow flow... dont know if any of this worked but she just eventually grew out of it. Sorry I havent helped much but your not alone!

#17 lucky 2

Posted 14 April 2013 - 09:57 PM

That's great news about her tongue freedom  biggrin.gif  .
With the possiting, it's ok I suppose if she is feeling ok and not upset about it, and of course still growing normally.
Did your LC have any ideas? Have you tried feeding in more of an upright position?

#18 pink2

Posted 14 April 2013 - 10:12 PM

Well done with trusting your instinct with the TT. My DD2 had one, fixed at 5 days old and never looked back. Regarding the throwing up, my DD1 was a big chucker for the first few months which worried me no end.  I used to think she was losing most of every feed. The best advice I got, from the MCHN, was to put 50ml of milk in a cup, which looks like nothing much, and throw it on a bench, it looks like a massive amount! It made me realise she was still getting plenty. Once my supply settled, the chucking did too. Good luck.

#19 Ellie bean

Posted 14 April 2013 - 10:58 PM

Hi I don't know anything about TT but it does sound like your daughter may have reflux. Reflux is only a minor problem for most bubs but for a small % it's really painful- my daughter was in agony from 6 wks till we got her diagnosed and treated. If you check out an organisation called RISA - www.reflux.org.au - it has some great info, it's a not for profit organisation that helps reflux parents, they helped me a lot. Good luck original.gif

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