Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM The Patient Experience We would greatly appreciate it if you could take a moment to share your experience with us. Your feedback helps us improve our services and assists others in making informed decisions. Thank you for being a valued part of our community! Rate Us First Name Last Name Email Name of Physician or Practitioner : Message I want to subscribe to the newsletter. Send We truly appreciate our patients for sharing their experiences & feedback. Your insights are essential in helping us improve & grow our practice. Featured Patient Reviews Natalie Alcantar Review from Health Grades Member "I love how they are so efficient and they care! I came in with my little girl, and they were so nice and pleasant with her and I! They also did x-rays on the spot and told me within seconds about her x-rays and also treated her ASAP..I love it! Faster than the ER!!!!" Teresa Guzman Aug 24, 2024 “I had to call his emergency service the night before and he told me what to do for my toddler and then had me bring him in first thing the next morning to my surprise [ Dr. Vijay Veerula ] was there waiting for us to arrive he immediately begin to assess the baby and acted quickly to resolve this serious issue he was having he was very compassionate and caring and took a lot of time with us thank you Dr veerula you are awesome and I will highly recommend you to everybody, and your nurse Brad is awesome as well. Thank you both for your rapid response that you provided my foster baby. Please don't ever change!!." Samantha Baumgartner "I’ve been taking my boys here for 4+ years. Dr. [Giridhar] Veerula and his associates are awesome! Even when I’m a walk-in with no confirmed apt. There’s nothing but maybe a 10-15 minute wait and we’re seen. They truly all have a heart for the kids and will do right by them! I will continue to bring my children here and adore this staff and all their hard work!"

resources. Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM  Resources Concussions You can't see a concussion. Signs and symptoms of a concussion can show up right after the injury or may take days or weeks to appear. Find out more about the symptoms and how to prevent concussions below.. English & Spanish Measles, Mumps & Rubella Vaccines Why get Vaccinated? Who should get MMR accine and when? What are the Risks. What if there is a moderate or severe reaction? Learn More. Polio Vaccine Polio is a disease caused by a virus. It enters a child's (or adult's) body through the mouth. Sometimes it does not cause serious illness. But sometimes it causes paralysis. Meningococcal Vaccines Meningococcal disease is a serious bacterial illness. It is a leading cause of bacterial meningitis in children 2 through 18 years old in the United States. Hepatitus B Hepatitus A Chicken Pox Vaccine Haemophilus Influenza Type B Alcohol and Drug Abuse Find out about the symptoms of Alcohol and Drug Abuse and a few treatment options. Help your Child have a Healthier Tomorrow Common childhood diseases and their symptoms.. Diet Important diet changes for optimal health. Homemade Gingle Ale and Re-Hydration Juice Great for upset stomach, vomiting, and diarrhea. Medicaid Dental Providers Addresses and phone mubers for local Fort Wayne medicaid dental providers.. How To Produce More Breast Milk Step-by-Step Guide BRAT Diet Dietary guidlines fo patients with nausea, vomiting, and diarrhea. Common Medication Doses List of medications and doses for children 6 months-12 years. Fever Ferver is an elevation above the normal body temperature. Learn More.

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Download our quick reference guide. Download Mouth Wounds & Oral Stretches: Open mouth wounds heal quickly, which can lead to premature reattachment of the tongue or lip after a frenectomy. This may cause limited movement and a tighter frenulum. To prevent this, it's important to keep the wounds open with post-procedure stretches for at least two weeks, (although 6 weeks is encouraged) ensuring a loose frenulum with minimal scar tissue. Proper stretches should be quick and precise, requiring no force, though they may feel uncomfortable for a young baby. Some crying is expected from infants and children. Research and feedback from adult frenectomy patients indicate that there is little to no discomfort when the procedure is followed correctly and compassionately. Best practice indicates that stretches reduce the risk of reattachment when performed 4-5 times daily for 4-6 weeks. This may not be achievable for everyone. We ask parents to do the best they can with regard to their child's individual needs. Call us if you feel your child cannot handle the prescribed aftercare plan. We will work with you to find the best solution for your child. Holistic Therapies and Treatments: Our Osteopath, Dr, Vijay Veerula can provide a range of therapies and osteopathic treatments to help eliminate symptoms after the release of oral ties . Myofacial and Myofunctional therapy: This therapy helps to retrain the muscles of the face, mouth, and throat to improve function. It can help with tongue-tie by addressing physical limitations and functional issues while improving swallowing, breathing patterns, and speech clarity. Myofascial/Myofunctional therapy often involves exercises and techniques to improve muscle function, particularly in the jaw and face, and can be part of your comprehensive treatment plan provided by our Osteopath. Craniosacral therapy This therapy can help prepare for a tongue tie release and can be used both before and after the release. Craniosacral therapy can help with tension in the muscles, which can impact the structure of the tongue and mouth. OMT & Birth Trauma Bodywork Osteopathic manipulative treatment can help with muscle tension and structural imbalances, and as a result can improve symptoms like reflux, gas, colic, and sleep in infants. Other professionals who may have training with oral ties: Lactation consultants, Speech therapists, Occupational therapists, Chiropractors, and Osteopaths (DO). At Jefferson Pediatrics & Family Medicine, we encourage collaborating with other specialists for better patient outcomes. Basic Stretching Procedures: Note: This is only an example of basic aftercare procedure. Dr. Veerula may have different recommendations depending on you or your child's individual situation. As research increases our physicians review these practices and update accordingly. What you are recommend in office may be different than what is written below. Always follow what your provider recommends in office. Essentially, gentle strokes upwards on the diamond shaped wound, a few times a day, will keep the wound open and the edges from closing together. Keeping a diamond shaped wound that will slowly close over the course or 2-6 weeks is the goal. Many patients find it easiest to remember to perform these stretches after every diaper change. Ensure your hands are clean before starting. To help your little one feel more comfortable and reduce wiggling during stretches, we recommend swaddling them beforehand. With the baby swaddled, lay them down with their head facing the person performing the frenectomy stretches to ensure proper direction and force. Lip Stretch: Stabilize the baby's head with your palms. Using your index fingers, start at the cheeks and move toward the upper lip. Lightly pinch the upper lip with your thumbs and index fingers, pulling it up toward the nose while ensuring the entire diamond (lasered area) opens. Hold for five seconds. Tongue Stretch: Again, stabilize the baby's head with your palms. Use your middle fingers to apply counter pressure on their chin. Place your index fingers under the tongue, ensuring they touch, and gently push down where the frenum was while maintaining counter pressure on the chin. Once the diamond (lasered area) opens, hold for five seconds. During the first couple frenectomy stretches, some bleeding may occur, which is normal and typically stops quickly. Tip: Allow the baby to suck on your finger (nail down toward the tongue) between stretches for a calming effect. Doing this sucking exercise a few times a day can not only help calm an infant but retrain the tongue. Pain relief: Tylenol or Ibuprofen can be used for children six months or older. For those under six months, Dr. Veerula has a natural aftercare pain management plan that is more age-appropriate, which can be discussed during your evaluation. Dr. Veerula will provide a detailed informational sheet on how to properly perform the stretches and sucking exercises to help retrain the tongue. A follow-up with OMT, your Lactation Consultant, or Speech Therapist is recommended, Frenectomy Aftercare At JFPM, we know the value of proper frenectomy aftercare. The diode laser aids healing and minimizes bleeding, and reduces the risk of reattachment but the after care is critical for best results. Having trained physicians provide local aftercare treatments and therapies results in better outcomes.

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New Patient Forms. Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM New Patient Forms New Patient Registration Packet We are working on a HIPAA-compliant online submission method. In the meantime, you can print this packet and bring it to your first appointment. Emailing is not recommended or HIPAA-compliant. Any forms emailed are at the patient's own risk. Please make sure the form is complete before your scheduled appointment time. A copy of this packet is available at our front desk for those without access to a printer. Please review it online so you have the necessary documentation and plan to arrive 30 minutes early if completing in office.

Survey Comments & Concerns Chadis

At Jefferson Medical we believe in quality consistent care for patients of all ages and stages of life. We offer specialized primary care in pediatrics & family medicine under one roof. Dr. Girighar Veerula (Integrative Pediatrics) and Dr. Vijay Veerula (Osteopathic Family Medicine) work seamlessly together to provide you and your family with quality healthcare. CHADIS is a web-based system that collects and analyzes online questionnaires from parents, teens, or teachers, giving clinicians instant access to important clinical data. It enhances the diagnosis and management of health, emotional, and behavioral issues, addressing parents' concerns about their child's development while streamlining pediatric care routines. CHADIS For Patients The Pediatric community acknowledges that early diagnosis and treatment of children's health and behavioral issues is vital. Organizations like the American Academy of Pediatrics endorse previsit screening tools for this purpose. CHADIS was developed by experienced Pediatricians and specialists to improve daily practice operations and enhance patient care . For Clinicians CHADIS online questionnaires help families share concerns with the Pediatrician and address other issues. They assist in selecting resources, highlight useful handouts, and improve communication among families, ensuring coordinated care while following American Academy of Pediatricians' guidelines. Pediatric Services Well Child Examinations Prenatal Visits Circumcisions Lip & Tongue Tie Evaluation Laser Frenectomy Sick Child Visits Chronic Conditions Lactation New Born Care ADHD & Autism Support School & Sports Physicals Osteopathic Manipulatative Treatment (OMT) In-office Xrays Diet & Nutrition

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Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Primary Care For All Ages At Jefferson Pediatrics and Family Medicine , we provide integrative primary care for individuals of all ages! Our services include in-office treatments and therapies, designed to work together to achieve optimal health and wellness. Our team of dedicated healthcare providers each bring their own unique skills and expertise to our practice collaborating to ensure better health outcomes for all of our patients. Our commitment to excellence drives us to provide the highest quality of care no matter who you are scheduled with. When you see one of our providers you see us all. It is a privilege to support you and your family on your journey to better health. . Giridhar Veerula, MD FAAP Double Board Certified Integrative Pediatrics Dr. Giridhar Veerula graduated from the Institute of Medical Sciences at Osmania University in Hyderabad, India and completed his pediatric residency in Galveston, Texas. In 1995, He established Jefferson Pediatrics with the belief that all children should have access to comprehensive preventative medicine. Throughout the years, he has worked tirelessly to create a patient-friendly environment where parents feel heard and children receive exceptional healthcare. In 2014, He became double board certified in integrated pediatric medicine specializing in a holistic approach that emphasizes the importance of a healthy lifestyle and focuses on individualized care. Vijay Veerula, DO, FAAFP Board Certified Osteopathic Family Medicine Dr. Vijay Veerula earned his medical degree from Liberty University School of Medicine, specializing in osteopathic medicine and OMT. In 2024, He completed his family medicine residency through The Fort Wayne Medical Education Program. As a dedicated osteopathic physician, Dr. Veerula provides holistic care by integrating traditional practices with osteopathic techniques, focusing on patient education and personalized treatment plans. Dr. Vijay Veerula offers osteopathic manipulative treatment (OMT) and laser treatment for pain management, pregnancy/postpartum issues, birth trauma, and frenectomy aftercare. Rebecca Blume, PA-C Certified Physicians Assistant Rebecca has been a pediatric primary care clinician since 2003, specializing in preventative care as well as the diagnosis and treatment of chronic conditions like asthma, eczema, and mental health issues (ADHD, anxiety, depression). Since 2015, she has furthered her training in functional medicine and applied it in her practice. Her mission is to prevent and reverse chronic illnesses in adolescents by collaborating with patients and their families on nutrition, movement, sleep, and stress management. Rebecca is also a certified health coach through the NCCA-accredited American Council on Exercise (ACE) and offers personalized health coaching services at Blumewholehealth.com Brittany Schoenle, PA-C Certified Physicians Assistant Brittany graduated from Indiana University in 2010 with a degree in Applied Health Sciences and completed a dietetics internship at the University of Northern Colorado. After becoming a Registered Dietitian, she earned a Master of Science in Physician Assistant studies from the University of Saint Francis in 2013. Shortly after graduating, Brittany joined the Jefferson Pediatrics team and works closely with children and their families through a collaborative care approach. She is dedicated to the health and well-being of her patients, striving to offer holistic treatment options when possible. She understands and emphasizes the importance of patient education and fostering healthy habits at a young age. Brittany is passionate about helping children lead healthy, happy lives! Lisa Tucker, CPNP-PC Certified Pediatric Nurse Practitioner Lisa has 25 years of pediatric experience, 9 of those as a Nurse Practitioner. She is board certified in Pediatrics, specializing in preventative care as well as chronic health conditions. She is passionate about helping children lead happy, healthy lives. Thank you for choosing Jefferson Pediatrics & Family Medicine! Sincerely, Dr. Veerula & Staff Meet Our Team of Holistic Care Providers Vijay Veerula DO, FAAFP, Board Certified Osteopathic Family Medicine Dr. Vijay Veerula is a dedicated and experienced professional committed to providing exceptional care to his patient with a strong background in osteopathic manipulative treatment. His passion for medicine and commitment to excellence make him a trusted partner in your healthcare journey. In 1995, I established Jefferson Pediatrics with the belief that all children should have access to comprehensive preventative medicine. Throughout the years, my staff and I have worked to create a patient-friendly environment where parents feel heard and children receive exceptional healthcare. Our practice specializes in a holistic approach that emphasizes the importance of a healthy lifestyle and focuses on individualized care. In 2014, I became certified in holistic integrated medicine to better provide a more personalized approach. I specialize in integrative medicine and holistic pediatrics, with a special focus on autism, lactation consultation, and wellness changes. In 2024, we are proud to announce the expansion of our practice to include adults. Our name has officially changed to Jefferson Pediatrics & Family Medicine with the addition of my son, Dr. Vijay Veerula. He shares my passion and commitment to holistic preventative care. Together, with our dedicated staff, we strive to provide exceptional patient-based medicine for all ages. Thank you for choosing Jefferson Pediatrics & Family Medicine. Sincerely, Dr. G.R.Veerula Brittany Schoenle, PA We just had a check up with Brittany and really recommend her!! Our boys are 10 and 2 and she makes it so easy and fun, especially with our busy 2 year old. Totally settled the nerves our youngest had about the visit and now he’s excited for his next check up :) very reassuring to any questions you have" Vijay Veerula, DO “I had to call his emergency service the night before and he told me what to do for my toddler and then had me bring him in first thing the next morning to my surprise [ Dr. Vijay Veerula ] was there waiting for us to arrive he immediately begin to assess the baby and acted quickly to resolve this serious issue he was having he was very compassionate and caring and took a lot of time with us thank you Dr. Veerula you are awesome and I will highly recommend you to everybody, and your nurse Brad is awesome as well. Thank you both for your rapid response that you provided my foster baby. Please don't ever change!!." Giridhar Veerula, MD "Dr. V is where I take both my girls and there’s no one else in Fort Wayne I want recommending treatments for my girls than Dr V. He is very knowledgeable on best practices and preventative care we can do at home for our girls as parents and he spends the time explaining the “why” behind it." Rebecca Blume, PA "First time going here and I was blown away with the patient care we received from Rebecca Blume. She spent tons of time evaluating my child and very thorough. I'm very glad we found this pediatrician office. I would highly recommend them. We were seen at our appt time, very little wait. Everyone was very nice in the office. We had a very good experience!" Our Services Well Child Examinations Prenatal Visits Circumcisions Lip & Tongue Tie Evaluation Laser Frenectomy Sick Visits Chronic Conditions Lactation New Born Care ADHD & Autism Support School & Sports Physicals Osteopathic Manipulatative Treatment (OMT) In-office Xrays Diet & Nutrition

@savicupcakeco About Our Company After our first child was born with a long and complex list of food allergies, I began creating allergy-friendly cupcakes and cakes. We were motivated to launch this cupcake company after realizing how few options were available for parents like us who want safe treats for our little ones' special moments. At Savi Cupcake Co. we’re passionate about offering something for everyone! If you have a specific allergy or sensitivity not listed below, don’t hesitate to reach out. We can accommodate most combinations, including dairy-free, egg-free, gluten-free, soy-free, nut-free, and artificial dye-free options. We also offer additional pick-up and delivery options for large orders as well as custom allergy labels for your event. Traditional cakes, pull-apart cakes, and custom designs are available for special events upon request (reference photos are very helpful, though we can’t guarantee exact replicas). For more details, please fill out the custom order form below. -Sarah & Vijay Veerula (SaVi) Online Ordering You can now order our basic cupcake menu online! For Custom Orders please fill out the form below and someone will get in touch with you as soon as possible. Accepting Orders Delivery fee - Min. order - $0.00 Free delivery above Pickup Delivery Pickup time: Feb 23, 10:00 AM - 12:00 PM Change Pickup Address: 5680 YMCA Park Drive West, Fort Wayne, IN 46835 Change You are viewing menu. In order to start an order you’ll need to input details Start Order Cupcakes By The Dozen Schedule Pickup Time Our cupcakes are homemade with care. Please message us if you have an questions or have a specific allergy not listed. We can accommodate most allergy-friendly combinations. Default pick up is at the Jackson R. Lehman YMCA. Alternative pick up at Jefferson Pediatrics & Family Medicine can be arranged (please mention in the special request box) Delivery for custom orders is available depending on time and location of the event. Please message us for details or fill out the custom order form below. Please Note: We are ServSafe certified and have strict protocols for avoiding cross contamination, but we are not a certified gluten free space. Our gluten free products may not be safe for celiac disease. We take every precaution to provide allergen-free cupcakes, but due to the nature of our small home-based kitchen, cross contamination of dairy, gluten, eggs, soy, and nuts may occur. Reach out to us if you have any concerns or question. Event Rentals Schedule Pickup Time Cupcakes View Cart (0) Contact Us For a quote on custom cupcakes, pull-apart cakes, and traditional layered cakes please reach out using the form below. or email savicupcakeco@gmail.com Delivery is available for custom orders. There is a $15 custom order fee that includes delivery and custom cupcakes or cake. Reference photos of design or color scheme are encouraged! We look forward to creating delicious safe treats for your special occasions! Email savicupcakeco@gmail.com Connect With Us on Social Media @savicupcakeco Get a custom quote for your event First name* Last name* Email* Phone* What's the occasion? Wedding Number of guests & cupcakes desired. When is the event?* Month : Delivery method* Pickup Delivery Submit “I had these at a party and have NEVER had such amazing gluten free (AND VEGAN!) cupcakes before!.” Andy, FT. Wayne IN Leave a Review <3 How satisfied are you? Very dissatisfied A bit dissatisfied Pretty satisfied Satisfied Very satisfied First name Last name Email Write your Review: I agree to publish my testimonial online. Only your first name will be shared. Submit

Dr. Giridhar Veerula, Board Certified Integrative Pediatrician. Dr. Vijay Veerula, Board Certified Osteopathic Family Medicine Physician. Primary Care. Fort Wayne, IN. Holistic healthcare for patients of all ages. Accepting new patients. Jefferson Pediatrics & Family Medicine. JPFM Frenectomy Information At JFPM, we use a diode laser for in-office treatment of lip & tongue ties, avoiding general anesthesia to reduce complications. Comfort is ensured with appropriate numbing methods. The diode laser aids healing and minimizes bleeding, with trained physicians providing local outpatient aftercare for better outcomes. What Is A Frenectomy: A frenectomy is a minor surgical procedure that removes or alters the tissue (frenulum) connecting the lips or tongue to the gums. While everyone has these connections, their tightness can vary, with labial (lip) and lingual (tongue) ties being the most common needing revision. At JPFM, we use a Diode Laser for frenectomies instead of scalpels or scissors. Common Types of Oral Ties: Labial (Lip) Tie : a too short or stiff maxillary labial frenulum can restrict the upper lip's movement. and cause a gap between the two front teeth in older patients. Lingual (Tongue) Tie: an unusually short or thick lingual frenulum, a membrane that connects the tongue to the floor of the mouth. Anterior tongue tie: Near the tip, easily diagnosed, with lower risk of reattachment and need for revision. Posterior tongue tie: Located in the middle or back, often hidden and harder to diagnose, may require multiple procedures. A laser frenectomy can reduce reattachment risk, but children may still need a second revision around ages 2 or 3 if speech issues arise. Benefits of Laser Frenectomies: A diode laser targets specific tissue, preserving healthy areas and minimizing complications. It causes minimal bleeding compared to scissors, enhancing visibility for a more complete frenectomy and reduces reattachment risk. The laser also cauterizes tissue to lower infection risk and can be adjusted quickly to suit the patient's anatomy. Symptoms (Infants): Oral ties in infants can cause nursing or bottle-feeding difficulties, often resulting in "failure to thrive." Lip ties often affect latching, while tongue ties complicate swallowing, leading to reflux and poor weight gain. A consultation is always advised if these symptoms arise: Painful latch Nipple or bottle refusal Clicking sound during feeding Clamping or biting Frequent or prolonged feeds leading to dissatisfaction Nipple pain or trauma (flattened, blistered, or cracked nipples) Poor weight gain Colic or reflux Inability to take a pacifier Leaking milk or dribbling during feeding Frequent plugged ducts Symptoms (Toddlers, Children, and Adults): Lip and Tongue ties can cause painful brushing and increase cavity risk and may lead to speech issues and decay. In older children and adults, lip ties can create gaps between teeth, needing correction before orthodontics, Tongue-tie can cause several issues, including: Speech problems (difficulty with sounds like "t," "d," "z," "s," "th," "n," and "l," speech delays, and lisping) Oral health issues (difficulty removing food, leading to tooth decay and bad breath) Challenges with oral activities (eating certain foods, playing instruments) Neck and shoulder tension Increased headaches or migraines Sleep problems (snoring, teeth grinding, sleep apnea) Swallowing difficulties (pills and food) Mouth breathing (poor sleep quality and dry mouth) Why choose us: At JFPM, we perform in-office procedures using a diode laser and numbing agents, avoiding general anesthesia to reduce complications. Numbing cream or an injection of anesthetic depending on the age of the patient is used to ensure comfort. The diode laser promotes efficient healing and minimizes bleeding. Local, outpatient treatment by trained physicians has been shown to improve patient outcomes. Dr. Giridhar Veerula has surgically treated tongue-ties since 1992 and specializes in laser treatment since 2016, while staying updated on research. His son, Dr. Vijay Veerula, has also been performing frenectomies since 2021, incorporating a holistic approach to treatment and follow-up care. Dr. Vijay Veerula recommends OMT and cranial sacral therapy as part of the frenectomy aftercare that helps alleviate any remaining oral tie symptoms. For moderate to severe oral ties, surgery is often necessary, but Osteopathic Manipulative Treatment (OMT) can alleviate mild symptoms like headaches and jaw tension if surgery is declined. It's advised to seek Osteopathic care before and after surgery for better recovery. Trained Osteopaths assess tongue function, release tight muscles, and help identify the need for surgery. Post-surgery, addressing underlying issues can effectively relieve symptoms and improve overall well-being. At JPFM, Dr. Giridhar Veerula and Dr. Vijay Veerula collaborate on oral tie cases, ensuring patients receive the most comprehensive and effective aftercare! What to Expect: Before the procedure, we will have a consultation to evaluate the severity of the oral ties, discuss options, and prepare you with a personalized aftercare plan. For newborns with feeding or nursing issues, our physicians recommend performing the procedure the same day as the consultation to benefit both the newborn and mother. Especially if the symptoms indicate the need for immediate action: nipple or bottle refusal, low weight gain, or painful latch. Delaying the procedure when symptoms indicate its necessity can only cause more stress and harm to newborns or the breastfeeding relationship. The procedure is quick, lasting under a minute , and is generally well-tolerated by infants and children. Numbing cream or anesthetics are used to minimize pain and stress, with oral anxiety medication available for older children and adults upon request. Parents and guardians must wait outside for safety during the procedure. Your child will be away for 5-10 minutes; safety protocols for laser use necessitate this. We understand this can be difficult for both you and your child and will do everything to ease the uncertainty and separation anxiety. Crying is very typical but usually due to separation anxiety or the unfamiliarity of the procedure not than pain. The procedure itself is painless and quick; less than a minute of laser use. Staff will bring you back immediately to offer comfort measures to your child . Nursing or bottle-feeding can be tried immediately. Some mothers find instant results! Others may need the support of a lactation consultant. At JPFM, we ask our patients to diligently follow their personalized aftercare procedures which includes stretching exercises, lactation consults, OMT , cranial sacral therapy, and speech therapy if applicable. This provides improved patient outcomes, less risk of reattachment, and a more thorough elimination of symptoms. If a patient is hesitant about a frenectomy, we can consider alternatives like OMT and cranial-sacral therapy sessions to alleviate some of the symptoms while you decide. However, it's important to note that severe oral ties may cause recurring symptoms if not fully addressed through surgery. Preparation for the Procedure: We recommend having the necessary medications ready for post-procedure care and to have your lactation consultant on-call the day of the procedure for troubleshooting and feeding issues. For Tylenol, administer every 6-8 hours post-procedure at 160mg/5mL concentration, using the following dosages: 6-11 pounds: 125mL 12-17 pounds: 2.5mL 18-23 pounds: 3.75mL 24-35 pounds: 5mL For children 6 months and older, ibuprofen can be used as directed. Homeopathic remedies or no medications are also options, and we can discuss your specific needs at your first appointment! Familiarize your child with aftercare stretches before their frenectomy appointment. Starting these tolerance exercises early helps them adapt to the sensation and supports recovery. To increase oral tolerance, we suggest: Gently Rubbing the lower and upper gumline side to side. Let your child suck your finger while playing tug-of-war. Apply gentle pressure to the palate while they suck your finger. Massage the cheeks to reduce tension. and incorporate playing together with a teething toy or baby safe teething brush into your daily routine. (using teething brush on your baby's gums daily is great practice for future toothbrushing tolerance) Performing these activities multiple times daily will enhance tolerance and make aftercare easier.. Post-Procedure: The anesthetic will wear off in 1-4 hours; monitor your child to prevent self-biting. Afterward, they may experience some soreness. It's common for children to be fussy post-procedure. For younger children, nursing or offering a bottle can be comforting, while cold teething toys may help. Older children should start with a cold, soft diet, gradually adding solids and avoiding spicy or acidic foods. Administer Tylenol and Motrin as prescribed and remind them to keep hands away from their mouth. Although the infection risk post-laser frenectomy is low, maintain clean hands during stretching exercises and contact us with any concerns. You can begin the prescribed stretches at home, ideally 4-5 times daily for 4-6 weeks to reduce reattachment risk. Parents are encouraged to reach out if their child struggles with the aftercare. OMT, Cranial-Sacral therapy and Consultations with a lactation consultant or speech therapist are strongly recommended. Follow-up appointments for a frenectomy (tongue tie) can be scheduled anytime; just inform the front desk to ensure proper booking with Dr. Veerula. We recognize that this procedure may appear daunting; however, we are committed to providing you with support every step of the way!