Latch has changed..... gas and pain!

[Helpmynipples]

I have a 6 week old EBF baby who breastfed well from birth but is super gassy. It's been suggested it might be his latch causing him to ingest too much air. It's definitely not quite right as my nipples are SORE!

Hopefully these are all the relevant points:

He latches well but after a short while he adjusts his latch making it much shallower and clamps my nipples. He then gulps and guzzles for 5-10 mins and post feeding has a lot of gas and often vomits from it.

His latch was checked at 2ish weeks by midwives, a hospital infant feeding team and a lactation consultant and they all said it was good but it's definitely changed and feeding now kills my nipples!

I have very large breasts and I think quite a fast flow.

He has a tongue tie and a high palette but it's been checked and I was told it wasn't impacting his feeding. His latch is very strong apparently. Check again?

We give him expressed milk in a bottle once every 2 or 3 days and he doesn't seem to have the same gas, vomiting issues after.

No issues with his milk intake, he's a proper chunk of a baby and is gaining weight.... maybe too much? (75th %tile at birth, now mid 90s)

Any ideas on how to improve his latch and hopefully decrease the amount of air he is ingesting (and help my poor nipples!)?

I can’t be much use but I just wanted to say we had the same “mild” tongue tie situation, see how you go etc. He was gaining weight and big too but latch didn’t feel right and he was gassy/sick
At 6/7 weeks my boy got worse and I just took him privately to a lady who cuts tongue ties to be checked again. She said it wasn’t mild in the slightest and needed doing so did it there and then.
It’s two weeks on and although his latch isn’t perfect all the time he’s so much better.
Even if I stopped breastfeeding him tomorrow I’m so glad we got it done as it can cause weaning/speech issues and it’s much harder to cut then.

Thank you so much. That's really helpful.

As pp says, I would get the tongue tie checked again. A small tongue tie can impact feeding hugely, conversely one that appears to be severe may not cause any problems. It is a very individual thing.

In the mean time, every time the latch slips you need to take him off and reattach so he can feed properly and your nipples are saved from further pain.

It sounds like his TT is impacting feeding. Can you contact a tongue tie practioner to come out?

www.tongue-tie.org.uk/find-a-practitioner/