13/09/2025
BREAST PAIN APPEARED WHEN BABY'S TEETH STARTED TO ERUPT?
This is my 10 month-old patient I saw online 2 months ago. Mom was complaining of sharp shooting pain on the left breast right after feeding for 1 week at that time. It started when baby's teeth started to erupt. There was a ni**le bleb. During online consultation, it was hard to assess this baby and advised them to see me face-to-face. We managed the ni**le bleb.
One week after their online consultation, mother was still complaining of ni**le pain after breastfeeding but shorter. When I assessed baby's mouth, there was a type 4 tongue-tie that could have contributed to recent ni**le pain. We performed frenotomy that day and advised them to do oral exercises.
A week after frenotomy, mother noticed that the pain was gone only to reccur 3 days after with reappearance of bleb. I advised them to improve the stretching and exercise and managed the new bleb.
One month after frenotomy, they followed up enjoying breastfeeding pain-free even prior to total disappearance of milk bleb. Patient had good appetite with solid food and crawling on fours. Praise God 🙏
Why breast conditions like ni**le bleb appeared only on a baby with tongue-tie with erupting teeth ?
Tongue-tie restricts tongue movement, affecting latch and sucking patterns. Erupting teeth change oral mechanics, potentially increasing pressure or altering forces on the ni**le. With teeth present, if the tongue's movement is restricted, the baby might apply different pressures or bite patterns causing ni**le trauma or duct blockage.
Treating the breast condition alone without addressing the main cause which is baby's shallow latch (due to a tongue-tie) is like treating it like a bandage solution. Yes it can mprove but it will just reccur.
**lebleb