Breastmilk supply in the vast majority of women is abundant and in perfect amounts for your growing baby. However, in some cases, low milk supply can be an issue and close investigation is needed to determine the cause and implement remedies. It can be categorized into two categories, there could be an initial low milk supply due to the birth or events surrounding the birth or there can be true low milk supply and it is important to distinguish between the two. Initial low milk supply can usually be managed and corrected with some hard work and close monitoring but true low supply due to physiological reasons may need ongoing supplementation. The sooner initial low supply is caught and corrected the better the long-term supply outcomes.

Tongue tie or Ankyloglossia as it is officially known, is when a piece of frenulum (tissue) that holds the bottom of the tongue, to the floor of the mouth is too short or tight. There is also lip tie or labial frenulum or buccal / cheek ties. But more on those later.

Everyone has frenulum, but in some babies, that piece of tissue can be really tight, thick or forward closer to the tip of the tongue, restricting its ability to move freely, to lift, to cup and hold nipple, to obtain a deeper latch and to effectively transfer milk. All key ingredients in breastfeeding.

This can lead to some or all of the following feeding symptoms: