Telehealth visits from the comfort of your home · IBCLC-certified · Board-Certified Pediatrician in AZ, TX, and FL.
Breastfeeding & Lactation Help From a Pediatrician, From Your Own Couch
Expert, physician-led lactation and breastfeeding support by secure video visit for families in Arizona, Texas, and Florida. Hablamos español.
Why see a pediatrician who is also a lactation consultant?
Feeding a baby can be harder than anyone tells you, and needing help is completely normal.
I’m a board-certified pediatrician, an IBCLC (International Board-Certified Lactation Consultant), and a specialist in healthcare risk management, which is the field focused on keeping patients safe. So when your baby is struggling to feed, I look at far more than the latch. I check how your baby’s mouth and tongue are built, their muscle tone, their growth, their breathing, and any signs of illness or infection.
Because I’m also a physician, I can diagnose and treat problems myself, including food allergies, tongue ties, and breast infections. If you or your baby needs a prescription, I can write it during the same visit. You don’t have to be passed between a lactation consultant, a pediatrician, and an OB, and you don’t have to wait for the next available appointment.
I’m a board-certified pediatrician, an IBCLC (International Board-Certified Lactation Consultant), and a specialist in healthcare risk management, which is the field focused on keeping patients safe. So when your baby is struggling to feed, I look at far more than the latch. I check how your baby’s mouth and tongue are built, their muscle tone, their growth, their breathing, and any signs of illness or infection.
Because I’m also a physician, I can diagnose and treat problems myself, including food allergies, tongue ties, and breast infections. If you or your baby needs a prescription, I can write it during the same visit. You don’t have to be passed between a lactation consultant, a pediatrician, and an OB, and you don’t have to wait for the next available appointment.
Breastfeeding really hurts. Is that normal, and could it be a tongue-tie?
Breastfeeding is incredibly painful. How can you help?
Some tenderness in the first days is common. Ongoing sharp pain, cracked or bleeding nipples, or a baby who seems frustrated at the breast are signs that something needs to change. The cause is often the latch or positioning. Sometimes it’s a tongue-tie, which is a tight band of tissue under the tongue that limits how well the tongue moves.
Here’s how a video visit works:
Here’s how a video visit works:
- You use your phone or tablet camera to show me the inside of your baby’s mouth. I can see under the tongue and check how well the tongue lifts and moves side to side.
- Then I watch a live feeding. I look at how your baby is latched and whether they’re sucking, swallowing, and breathing in a smooth rhythm.
- Finally, I coach you through small changes in how you hold and position your baby, so you can often feel relief during the visit.
Milk Supply Optimization
I’m scared my milk supply is dropping. What can I do?
This is one of the most common worries I hear, and it’s often more fixable than it feels. The first step is finding out whether your supply is actually low or whether something else is going on.
You don’t need to come into an office for this. In a video visit, I will:
You don’t need to come into an office for this. In a video visit, I will:
- Check your pump setup, including your flange size. The flange is the cone-shaped part that fits over your breast, and the wrong size can cause rubbing or squeezing that cuts down how much milk you get.
- Watch you pump to make sure it’s comfortable and effective.
- Look over your feeding and pumping log.
- Build a nursing or pumping schedule around your body and your baby, not a generic checklist from the internet.
I have a painful, red, hot lump in my breast. Can you help online?
Yes, and acting quickly matters.
Mastitis is breast inflammation that can turn into an infection, and treating it early helps prevent it from getting worse, including forming an abscess.
On video, I can look at the redness and swelling, and I’ll ask about fever, chills, and body aches. That helps me tell whether you have a plugged milk duct or a bacterial infection. If you need antibiotics, I can prescribe them right away and walk you through what to do at home.
If you have a high fever or feel very sick, seek urgent in-person care. Telehealth is not for emergencies.
On video, I can look at the redness and swelling, and I’ll ask about fever, chills, and body aches. That helps me tell whether you have a plugged milk duct or a bacterial infection. If you need antibiotics, I can prescribe them right away and walk you through what to do at home.
If you have a high fever or feel very sick, seek urgent in-person care. Telehealth is not for emergencies.
Food Allergies & Intolerances
My baby has reflux and green stools. Could it be a food allergy?
It could be, but not always. Spit-up and green stools have several possible causes, which is why a careful look is worth it.
Two feeding-related allergies I help families sort out are:
Two feeding-related allergies I help families sort out are:
- Cow’s milk protein allergy: your baby’s body reacts to the protein in cow’s milk. It can pass to your baby through breast milk when you eat dairy.
- FPIES (Food Protein-Induced Enterocolitis Syndrome): a less common reaction to certain foods that affects the gut.
You don’t need an office visit to start. I’ll walk you through either a step-by-step trial of cutting certain foods from your diet, or a switch to a different formula if that’s the better path. I’ll also show you what to look for in your baby’s diapers and how to track their weight at home with a baby scale. The goal is a settled tummy and steady growth.
Feeding Strikes & Behavioral Challenges
My baby suddenly refuses to nurse or take a bottle, and my maternity leave is ending. Can virtual coaching help?
Yes. A nursing strike is when a baby who was feeding well suddenly refuses the breast. Bottle refusal is common too, especially as moms head back to work.
In a clinic, most babies are stressed and won’t feed, so there’s very little to learn from the visit. On video, I’m in your kitchen or nursery, watching the moment your baby refuses. That lets me spot what’s setting it off, whether it’s the room, the position, the bottle, or the pace. Then I coach you through:
In a clinic, most babies are stressed and won’t feed, so there’s very little to learn from the visit. On video, I’m in your kitchen or nursery, watching the moment your baby refuses. That lets me spot what’s setting it off, whether it’s the room, the position, the bottle, or the pace. Then I coach you through:
- Paced bottle feeding, a slower method that lets your baby control the flow.
- Gentle ways to rebuild a good feeling around feeding.
- A step-by-step bottle transition over several days, with check-ins along the way.
Ready to get support?
Book your lactation consultation today. Same-day and next-day appointments are often available.
