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Tongue Tie in Infants: Identifying Signs and Seeking Solutions

Tongue tie, also known as ankyloglossia, is a condition that affects the tongue’s mobility due to a tight or short frenulum. This thin piece of tissue connects the underside of the tongue to the floor of the mouth. When the frenulum is too tight or short, it restricts the tongue’s range of motion, potentially causing difficulties with breastfeeding and speech development in infants.

Identifying Signs of Tongue Tie

Identifying tongue tie in infants can be challenging, as its severity can vary. However, there are certain signs to watch out for that may indicate the presence of tongue tie:

1. Difficulty with Breastfeeding

One of the primary signs of tongue tie is difficulty latching and sucking during breastfeeding. Infants with tongue tie may struggle to attach properly to the breast, leading to feeding problems such as inadequate milk transfer and poor weight gain. The mother may also experience nipple pain and damage due to ineffective sucking.

2. Clicking Sounds While Breastfeeding

If you notice clicking sounds during breastfeeding, it could be a red flag for tongue tie. The clicking noise occurs due to the improper seal between the baby’s tongue and the breast, causing air to enter the baby’s mouth during feeding.

3. Frustration and Irritability During Feeding

Tongue tie can make feeding sessions frustrating and uncomfortable for the baby. If your infant displays signs of frustration, such as pulling away from the breast, arching their back or crying excessively while feeding, it may be an indication of tongue tie.

4. Inadequate Weight Gain

Infants with tongue tie may struggle to gain weight as they are unable to effectively extract milk from the breast or bottle. If your baby consistently fails to gain weight or seems to plateau, despite frequent feedings, it is essential to consider the possibility of tongue tie.

Seeking Solutions for Tongue Tie

Early identification of tongue tie is crucial for prompt intervention to minimize potential complications. If you suspect your infant may have tongue tie, seeking professional evaluation and guidance is recommended. A lactation consultant or pediatrician experienced in tongue tie can assess your baby and provide suitable solutions, which may include the following:

1. Frenotomy

Frenotomy, also known as frenectomy or tongue tie release, is a minimally invasive procedure performed by a health care provider. The procedure involves snipping or lasering the restrictive frenulum to release the tension and allow for greater tongue mobility. A frenotomy is a quick and relatively painless procedure, often providing immediate relief and improved breastfeeding ability.

2. Oral Exercises and Rehabilitation

Following a frenotomy, your health care provider may recommend oral exercises and rehabilitation techniques to optimize the tongue’s functionality. These exercises typically involve gentle stretches and massages to encourage proper tongue movement and muscle development.

3. Feeding Support and Positioning Techniques

A lactation consultant can provide valuable guidance on breastfeeding positions and techniques that can help overcome feeding challenges associated with tongue tie. They may suggest alternative positions, such as the “laid-back” or “football” position, to facilitate a better latch and improve milk transfer.

4. Speech Therapy

In cases where tongue tie affects speech development, speech therapy may be recommended. A speech pathologist can work with infants and older children to improve oral motor skills, articulation and overall speech proficiency.


Tongue tie in infants can significantly impact breastfeeding and speech development. Identifying the signs early on and seeking appropriate solutions is crucial for addressing the challenges associated with this condition. If you suspect your baby may have tongue tie, consult with Dr. Morgan to explore suitable treatment options. With timely intervention, infants with tongue tie can overcome these difficulties and thrive in their early years.