Does Your Baby Have a Tongue Tie?

Tongue tie is a diagnosis used when the frenulum (a piece of tissue that attaches the underside of the tongue to the floor of the mouth) causes limitations in movement AND this is suspected to be effecting the baby’s ability to feed properly. Having a frenulum is normal! Just because your baby has one, does not mean it will cause problems.

If you suspect your baby may be tongue-tied, it's important to pay attention to certain signs and consult a lactation consultant for proper evaluation and guidance. There are many potential symptoms of a tongue tie. Here are a few indicators that your baby might be tongue-tied:

1. **Latch Difficulties:** Difficulty latching onto the breast or staying latched during breastfeeding could be a sign of tongue-tie. Your baby might struggle to achieve a deep latch or may come off the breast frequently.

2. **Painful Feeding:** If breastfeeding is consistently painful or uncomfortable for you, with sore nipples, cracks, or blisters, tongue-tie could be a possible cause.

3. **Inefficient Feeding:** Tongue-tied babies might have trouble effectively transferring milk (drinking enough) during breastfeeding, leading to poor weight gain or slow growth.

4. **Clicking Sounds:** An audible clicking or smacking sound while feeding can indicate improper latch due to tongue-tie.

5. **Restricted Tongue Movement:** If your baby's tongue appears to have limited movement, is heart-shaped when extended, or cannot stick their tongue out beyond the gums, it could be a sign of tongue-tie.

6. **Difficulty with Bottle Feeding:** Tongue-tied babies may also have difficulties with bottle feeding, as they may struggle to create a proper seal around the nipple and manage the flow of milk.

Remember, not all babies with tongue-tie will exhibit all of these signs, and some babies who have a visible frenulum, might not have any feeding issues at all. If you're concerned, it's best to seek guidance from a lactation consultant who can assess your baby's condition and recommend appropriate steps, and if indicated send a referral to a physician or dental provider for evaluation for a possible frenotomy (a minor surgical procedure to release the tongue tie). Early intervention can help ensure a smoother feeding experience and overall development for your baby.