Tongue-tie: Everything you need to know
What is a tongue tie, and how does it affect breastfeeding? Gain insight into symptoms, signs, and treatment options to understand and act if breastfeeding is challenging.
Many people only hear about a tongue tie when breastfeeding doesn't quite work as expected. For some babies, a tongue tie can affect their ability to suck effectively, creating challenges for both baby and mother.
At the same time, it is an area that can create uncertainty because the symptoms can vary, and it is not always easy to assess.
What is a tongue tie?
The frenulum is the small string under the tongue that connects the tongue to the floor of the mouth. In some babies, this string is shorter or tighter than normal.
When the frenulum is tight, it can restrict the tongue's mobility. This can make it difficult for the baby to latch properly and create the vacuum necessary for effective breastfeeding.
How does it affect breastfeeding?
Breastfeeding requires the baby to move their tongue freely and coordinate the sucking motion.
If the frenulum is tight, it can lead to:
- the baby having difficulty staying latched to the breast
- the baby often unlatching or becoming restless
- breastfeeds taking a long time without being effective
For the mother, it can be experienced as pain or discomfort during breastfeeding because the baby is not latching optimally.
Signs of a tongue tie
It is not always immediately obvious, but there are some signs that may indicate a tongue tie.
For example, it may manifest as the baby:
- clicking or making smacking sounds during breastfeeding
- appearing frustrated at the breast
- not latching properly
In the mother, it can manifest as persistent soreness or pain, even when trying to adjust the latching technique.
When should one react?
If breastfeeding continues to be challenging and adjustments in position and technique do not help, it may be relevant to investigate whether a tongue tie plays a role.
It is important to get a professional assessment, as not all breastfeeding challenges are due to a tongue tie.
How is a tongue tie treated?
If the tongue tie is deemed to affect breastfeeding, it can sometimes be treated by cutting it.
This is a minor procedure that is typically quick, and many find that breastfeeding improves afterwards. However, it is not always necessary, and the decision should be made in consultation with professionals.
It's not always a tongue tie
Although a tongue tie is often mentioned as a cause of breastfeeding challenges, it is important to remember that there can be many other explanations.
This can include, among other things:
Therefore, it is important to look at the whole picture and not just focus on one possible cause.
Confidence in seeking help
If you are in doubt, it is a good idea to seek help. A lactation consultant, health visitor, or doctor can help assess the situation and figure out what makes sense for you.
The most important thing is that you are not alone with the uncertainty.
Other possible causes of challenges
If you experience challenges with breastfeeding, it can be difficult to find the precise cause. In some cases, it is not about a tongue tie, but for example, about milk supply or the pace of breastfeeding. You may therefore also benefit from reading more about low milk supply and how to assess if your baby is getting enough.
