Tongue tie

Overview

The band under the tongue (frenulum) can be short or tight, limiting tongue movement.

Many babies with tongue-tie feed fine. A snip (frenotomy) helps if feeding is painful or the baby can't latch.

Symptoms

Common signs:

• Trouble lifting the tongue
• Tongue held down by a tight band

Less common

• Breastfeeding pain
• Clicking sounds when feeding
• Heart-shaped tongue tip

Look up a symptom: Sore or cracked nipples while breastfeeding · Tongue held down by a tight band

When to get medical care

Causes

Born with it.

Does it spread or run in families?

• It isn't contagious. You can't catch it from someone else.

Diagnosis

A clinician checks the tongue.

Treatment

Get help with feeding.

Self-care

• See a lactation consultant
• Get help from a lactation consultant
• Watch weight gain and wet diapers
• Try different feeding positions

Prevention

To lower your risk or prevent problems:

• None needed

Which doctor treats this

• Start with your child's pediatrician.
• They may send you to a dentist or an ENT doctor (ear, nose, and throat doctor).

Children, pregnancy, and older adults

• Older children: Rarely affects speech.

For caregivers

• Learn the warning signs and when to call the doctor or 911.
• Keep a list of your child's medicines, doses, and doctors on your phone.
• Tell teachers, coaches, and sitters what to watch for and what to do.
• Take breaks and ask for help. Caregivers need care too.

Outlook

Fixable.

Frenotomy is quick and safe.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

• Is the tongue-tie causing the feeding problem?
• Would a frenotomy help?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Tongue tie