How do you know if a bottle fed baby is tongue tied?

Answered by Jarrod Smith

To determine if a bottle-fed baby is tongue-tied, there are several signs and symptoms you can look for. Tongue-tie, or ankyloglossia, is a condition where the band of tissue connecting the tongue to the bottom of the mouth is too tight or short, restricting the tongue’s movement.

One of the most obvious signs of tongue-tie in a bottle-fed baby is difficulty latching onto the bottle or nipple. They may have trouble creating a proper seal or maintaining suction, leading to feeding difficulties and frustration. The baby may also have difficulty maintaining a consistent latch during feeding, frequently detaching or slipping off the bottle.

Another indication of tongue-tie is if your baby’s tongue does not lift or move freely. Normally, a baby’s tongue should be able to lift up and down, as well as move from side to side. However, if your baby’s tongue appears restricted in its movement or seems tethered to the floor of the mouth, it could be a sign of tongue-tie.

When a baby is tongue-tied, they may struggle to stick their tongue out fully. Instead of extending the tongue past the lips, it may appear shortened or heart-shaped when they attempt to protrude it. This limited tongue mobility can affect their ability to properly suck, swallow, and clear the milk or formula from their mouth.

Additionally, tongue-tied babies may exhibit symptoms such as poor weight gain, frequent gagging or choking during feeding, excessive drooling, and difficulty transitioning from a bottle to solid foods as they grow older. They may also experience reflux or colic-like symptoms due to swallowing air while feeding.

If you suspect that your baby is tongue-tied, it is important to consult with a healthcare professional, such as a pediatrician or lactation consultant, for a proper diagnosis. They will be able to assess your baby’s tongue mobility and offer guidance on the best course of action.

In some cases, a simple procedure called a frenotomy or frenulotomy may be recommended to release the tight or short frenulum. This is a quick and relatively painless procedure where the healthcare provider gently snips the tissue, allowing for improved tongue movement. However, it is essential to consult with a healthcare professional to determine the most appropriate treatment plan for your baby.

If you notice any of the aforementioned signs or symptoms in your bottle-fed baby, it is important to seek medical advice to determine if tongue-tie is the underlying cause. Early detection and intervention can help alleviate feeding difficulties and promote healthy development.