We all know the definition of iceberg: a large mass of ice located in the water with just a visible portion protruding above the water’s surface. Ice floes, by contrast, are flat floating sheets of ice with no base underwater. Both beautiful and dangerous, icebergs and ice floes present no issue as long as you can sail around them or sail over them.
Often babies presenting with feeding issues can be viewed as icebergs or ice floes. These babies present with Tethered Oral Tissues (TOT), or oral ties. Upper Lip Tie and Tongue Tie have been implicated as causes of Oral Dysfunction related to both breastfeeding and bottle feeding.
Some moms who elect to have these tethers released via scissors or laser, find huge results from symptoms like: nipple trauma and pain; leaking milk around the mouth; gas; reflux (both silent and violent/vomiting); difficulty sleeping; snoring; weight loss; clicking-while-nursing; colic; and bowel issues, such as constipation. Sometimes the release of tethers seems like a miracle or cure-all for everything — even things not directly related to oral tethers — such as hating the carseat or disliking diaper changes.The type of baby who gets a miracle cure from having
oral tethers released is dubbed the “Tether-Floe.”Tether-Floe babies have all of their issuesfloating on the top of the water, so to speak. The tether is the clue and solution to their breastfeeding problems. For them, the laser or scissor frenectomy IS the answer.
The problems begin to melt away, whether quickly or slowly, and within a short amount of time (days to weeks) these babies are breastfeeding like champs, gaining weight, and not hurting their moms any longer. For them, there were no underlying issues (or at least it seems so). The presenting problem is addressed and the breastfeeding relationship is saved.
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