Tongue Tie Consultation
Tongue-tie (ankyloglossia) is where the strip of skin connecting the baby’s tongue to the floor of their mouth is shorter than usual.
Some babies who have tongue-tie don’t seem to be bothered by it. In others, it can restrict the tongue’s movement, making it harder to breastfeed.
Tongue-tie is sometimes diagnosed during a baby’s routine newborn check, but it’s not always easy to spot. It may not become apparent until your baby has problems feeding.
To breastfeed successfully, the baby needs to latch on to both the breast tissue and nipple, and their tongue needs to cover the lower gum so the nipple is protected from damage.
Babies with tongue-tie aren’t able to open their mouths wide enough to latch on to the breast properly.
If you’re breastfeeding your baby and they have tongue-tie they may:
- have difficulty attaching to the breast or staying attached for a full feed;
- feed for a long time, have a short break, then feed again;
- be unsettled and seem to be hungry all the time;
- not gain weight as quickly as they should;
- make a “clicking” sound as they feed – this can also be a sign you need support with the positioning and attachment of your baby at the breast.
Tongue-tie can also sometimes cause problems for a breastfeeding mother. Problems can include:
- sore or cracked nipples;
- low milk supply;
- mastitis (inflammation of the breast), which may keep recurring.
Other signs that may indicate your baby has tongue-tie include:
- difficulty lifting their tongue up or moving it from side to side;
- difficulty sticking their tongue out;
- their tongue looks notched or heart-shaped when they stick it out.
Treatment isn’t necessary if your baby has tongue-tie but can feed without any problems. If their feeding is affected, treatment involves a simple procedure called tongue-tie division.
The decision on whether or not a tongue-tie is impacting on feeding and whether it is appropriate to offer to divide it should be made after a detailed feeding history has been taken. This will usually include information about the pregnancy and birth and the medical history of both mum and baby. The baby is usually observed at the breast. The function of the tongue will also be assessed to establish if the baby is tongue-tied and if this is impacting on feeding, even we discus about formula feeding.
Assessment for tongue-tie requires training and skill and involves placing a finger in the baby’s mouth. It cannot be done by just taking a look.
Problems which may be due to a tongue-tie:
- Sore/damaged nipples;
- Nipples which look misshapen or blanched after feeds;
- Low milk supply;
- Exhaustion from frequent/constant feeding;
- Distress from failing to establish breastfeeding.
- Restricted tongue movement;
- Small gape resulting in biting/grinding behaviour;
- Unsettled behaviour during feeds;
- Difficulty staying attached to the breast or bottle;
- Frequent or very long feeds;
- Excessive early weight loss/ poor weight gain/faltering growth;
- Clicking noises and/ or dribbling during feeds;
- Colic, wind, hiccoughs;
- Reflux (vomiting after feeds).
Your baby may not display all of these signs and there can be other causes for these symptoms so thorough assessment by a practitioner skilled in breastfeeding is essential.
Make An Appointment!
At the Practice: £150.00
Home Visits: £150*
*We are happy to travel up to 50 miles to your home for all treatments, other than ear piercing where we will travel up to 10 miles. Mileage is charged at 50p per mile
(one-way only). No mileage charged for locations within 10 miles.
Appointments last approx