Dra. Giovanna Amador — Pediatric Surgeon
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Baby Health4 min read

Tongue-tie: how it affects your baby's breastfeeding

|Dra. Giovanna Amador

Ankyloglossia or tongue-tie is a condition present from birth in which the band of tissue under the tongue is shorter or thicker than normal, limiting its mobility.

How does it affect breastfeeding?

The baby needs to move the tongue freely to achieve a good latch at the breast. When the frenulum is short, you may notice:

  • Difficulty latching onto the breast
  • Prolonged feedings without adequate weight gain
  • Nipple pain for the mother due to poor latch
  • Clicking sounds during breastfeeding
  • Reflux or excessive gas from swallowing air

When to consult?

If breastfeeding is painful, the baby is not gaining weight adequately, or you notice that your baby's tongue cannot protrude beyond the lower lip, it's important to seek evaluation with a pediatric surgeon.

Treatment

Frenotomy is a quick procedure (a few minutes) that releases the frenulum. In young babies, it can be performed in the office with minimal discomfort. Results are immediate: many mothers notice improvement in breastfeeding from the very first feeding after the procedure.

Not just breastfeeding

In older children, untreated tongue-tie can cause speech difficulties, dental hygiene problems, and difficulty playing wind instruments. Early evaluation allows determining the best time to intervene.

Breastfeeding is fundamental for your baby's development. If you suspect a tongue-tie is interfering, consult a specialist.

Have questions about your child's health?

Don't wait. Consult with a pediatric surgery specialist.

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