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2 months old has tongue tie problem, trouble sucking. Used bottles, same problem, baby gassy. Any suggestions ?

My son is 2 months old & he is having tongue tie problem due to which he is not able to hold & suck the nipple properly which results in poor feed.we tried to give him lactogen also but due to same problem & the hardness of bottle s nipple he is not able to hold the nipple properly.doctors suggested to have a cut after 6 months.According to doctor the time difference between 2 feeds must be 2 hours otherwise the baby would be gassy which bcoz of the incomplete feed is not feasable.So due to recurrent feeds my baby has become gassy .plese suggest.....
Asked On : Mon, 17 Sep 2012
Answers:  2 Views:  59
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Pediatrician, Neonatology 's  Response
Usually tongue tie does not cause problems in sucking unless very severe!!
See whether you have a retracted nipple-if so you can use a nipple shield and try.
For a bottle .try changing to a more supple nipple.
You can also try a careful cup and spoon feeding if he is not sucking.
However if the weight gain has been ok ,ad the baby is passing stools normally, this suggests that his intake is adequate .
Gases and colicks are common in the first 3 months and burp the baby after feeds.
Answered: Sat, 22 Sep 2012
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Pediatrician, Surgery Dr. Antony Robert Charles's  Response
Dear Ms Avnitkaur

Tongue tie is a very common diagnosis in little children, however only a very small minority need any surgery or cutting. Most of the tongue ties are innocent and do not need treatment and are unlikely to cause too much difficulty unless it is so severe that there is forking of the tongue. This can only be reasonably seen in children atleast more than a year. It is highly unusual for a child less than that to need any surgery. Kindly evaluate difficulties with latching on to the nipple, either for breastfeeding or the bottle. Even if nipple on the bottle is hard, if the opening is adequate and the bottle is supported well with the child in a slightly head up position, there will be better feeding. Also try feeding with bottles with a long snout. please revert if you have any further queries.
Answered: Sat, 22 Sep 2012
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