[Bella86]

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

[lovealpacas]

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

[Bella86]

Big vomits enough to have to change her.

[lucky 2]

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.

[Paddlepop]

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.

[lucky 2]

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

[emm79]

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

This post has been edited by emm79: 05/02/2013, 01:55 PM

[Bella86]

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.

[lucky 2]

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.

[Bella86]

http://www.flickr.com/photos/55730672@N03/...214171/sizes/n/
This is her tongue