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What are the red flags of tongue-tie?

Understanding Tongue-Tie: Recognizing the Red Flags
Tongue-tie, medically known as ankyloglossia, is a condition that can significantly impact a child’s development, particularly in feeding and speech. It occurs when a band of tissue, known as the lingual frenulum, is shorter than normal, restricting the tongue’s movement. While not all cases of tongue-tie require intervention, there are specific red flags that parents should be vigilant about to ensure their child receives the necessary support.
Feeding Difficulties
One of the most immediate concerns associated with tongue-tie is feeding challenges. Infants with this condition may struggle to latch onto the breast effectively, leading to poor weight gain and frustration for both the baby and the mother. Signs of feeding difficulties include:
– Inadequate weight gain: If a baby is not gaining weight as expected, it may indicate that they are not feeding efficiently.
– Frequent fussiness during feeding: Babies may become increasingly agitated if they cannot latch properly or if feeding is painful.
– Long feeding times: Extended periods at the breast without adequate intake can signal a problem.
Speech and Language Development
As children grow, tongue-tie can also affect their speech development. Parents should watch for:
– Delayed speech milestones: If a child is not meeting typical speech development markers, it may be worth investigating the possibility of tongue-tie.
– Articulation issues: Difficulty pronouncing certain sounds, particularly those that require the tongue to move freely, can be a sign of restricted movement.
– Persistent lisps or unclear speech: These can indicate that the tongue’s range of motion is insufficient for proper articulation.
Oral Health Concerns
Tongue-tie can lead to various oral health issues as well. Parents should be aware of:
– Gum recession: The inability to move the tongue properly can contribute to poor oral hygiene, leading to gum problems.
– Tooth alignment issues: A restricted tongue may affect the positioning of teeth, potentially leading to orthodontic concerns later in life.
Behavioral Indicators
In addition to physical signs, there are behavioral indicators that may suggest a child is struggling due to tongue-tie:
– Avoidance of certain foods: Children may shy away from foods that require significant chewing or manipulation in the mouth, preferring softer options.
– Frustration during mealtime: If a child exhibits signs of distress or frustration while eating, it could be linked to their ability to maneuver food effectively.
Conclusion
Recognizing the red flags associated with tongue-tie is crucial for parents. While not every child with tongue-tie will experience significant issues, being aware of these signs can lead to timely intervention and support. If any of these concerns arise, consulting with a pediatrician or a specialist in lactation or speech therapy can provide guidance and potential treatment options. Early identification and management can make a significant difference in a child’s development and overall well-being.

When should I be concerned about my baby’s tongue?

If your baby’s tongue does not seem to fit into their mouth, or you notice other concerns, such as excessive drooling, difficulty swallowing, poor muscle tone, or difficulty feeding, call your child’s pediatrician to discuss your concerns.

When to worry about a tongue-tie?

See a doctor if: Your baby has signs of tongue-tie that cause problems, such as having trouble breastfeeding. A speech-language pathologist thinks your child’s speech is affected by tongue-tie.

At what age should a tongue-tie be cut?

Many babies have their ties identified and treated after 6 weeks of age. When a baby is closer to 3-4+ months of age, they have been relying on compensation methods like horizontal tongue movement or compressions from the lower jaw for a sustained period of time.

What does a bad tongue-tie look like?

What does tongue-tie look like? To check for tongue-tie, you can look at the shape of your baby’s tongue. If your baby is tongue-tied, the tip of the tongue may look like a little heart. That’s because the tissue that attaches the baby’s tongue to the bottom of the mouth is too short or too thick.

What is the age limit for tongue-tie surgery?

This can often make them question the right age for their child to get tongue-tie surgery. According to the specialists at Tongue Tie Phenonix, tongue-tie surgeries do not have an age limit. Your child can get them anytime.

What does Level 4 tongue-tie look like?

Type IV: The frenulum is posterior or not visible, but when touching the area with the fingertips, the examiner can feel tight fibers anchoring the tongue, with or without a thickened, shiny surface on the floor of the mouth.

What syndromes are associated with tongue-tie?

Ankyloglossia is associated with other syndromes, namely, the Pierre Robin Syndrome, the Oral-Facial-Digital Syndrome, Meckel’s syndrome, the trisomy 13 syndrome, the Robinow Syndrome, the short rib syndrome, the ATR-X Syndrome, Fraser’s Syndrome, the Wiedemann-Beckwith syndrome, van der Woude’s syndrome, and the …

What is considered a severe tongue-tie?

Tongue tie can range from mild (only a tiny fold of tissue holds the tip of the tongue) to severe (the entire bottom of the tongue connects to the floor of the mouth). Sometimes a thick, tight frenulum near the base of the tongue limits its motion.

What does a concerning tongue look like?

A healthy tongue is pink in color. If your tongue color is white, yellow, orange, red, black, purple, gray, green or blue, it could mean you have an underlying health condition. If you have tongue discoloration that doesn’t go away, tell your healthcare provider.

What is the root cause of tongue-tie?

In some cases, the frenulum is too thick, or else it doesn’t separate sufficiently for normal function. It’s not fully understood why 1 in 20 people is affected, but it’s known that there’s often a genetic connection, as tongue tie runs in some families.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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