Tongue Tie is a common condition affecting 4-5% of babies.
Tongue-tie is a tight piece of skin between the underside of the tongue and the floor of the mouth that restricts movement and function of the tongue.
Some tongue-ties are easily seen, others are further back or behind a membrane and can be missed, leading to delayed diagnosis.
Tongue-tie is not currently part of the routine newborn baby check in the UK and you may need to seek expert help to diagnose a tongue tie
Some problems that may be associated with tongue-tie include:
- Inability to latch
- Poor weight gain
- Low/over milk supply rapid ‘letdown’
- Wind, colic and reflux
- Inability to make a seal on the breast or bottle teat and noisy feeding and air swallowing
- Milk leaking from sides of the babies mouth during feeds
- Slipping/bobbing on & off the breast
- Frequent, slow feeds
- Falling asleep at the breast
- Fussing when trying to latch, not satisfied after feeds
- Persistent sore/misshapen/damaged nipples
- Blocked ducts, mastitis, thrush, vasospasm
I assess breast or bottle fed babies with suspected tongue tie and discuss the treatment options. The procedure for dividing tongue-tie takes a few seconds. In many cases improvement is immediate, whilst some babies can take a number of weeks to learn how to use their newly released tongue.
Tongue-tie division is often recommended along side cranial osteopathy, massage and stretching exercises to help reduce the risk of re-attachment.
We do not as yet have evidence to prove the best approach to this aftercare.
Some practitioners believe there were improved outcomes with such aftercare.
However there is no about consensus the timing and frequency of the aftercare.
I am happy to talk to you about the aftercare options and where you can have it released/divided. I am not currently dividing tongue-ties
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