Tongue and Lip Tie

Tongue-tie (ankyloglossia) is a condition in which the bottom of the tongue is tethered to the floor of the mouth by a membrane (frenulum). Tongue and lip ties are recognized as a cause of breastfeeding difficulties. Tongue ties tend not to cause a significant impact on bottle feeding however, the growing popularity of breastfeeding has meant that more tongue and lip ties are being picked up early. Many babies with a tongue-tie also have a lip tie.

Symptoms for Mum:



  • Nipple pain and/or erosions
  • Painful breasts
  • Low milk supply
  • Plugged ducts
  • Mastitis
  • Frustration, disappointment and discouragement breastfeeding
  • Untimely weaning

Symptoms for baby:LT


  • Poor latch and suck
  • Clicking sound while nursing
  • Ineffective milk transfer
  • Inadequate weight gain
  • Fussiness and frequent arching away from the breast
  • Fatigue within one to two minutes of beginning to nurse
  • Difficulty establishing suction to maintain a deep grasp on the breast
  • Gradual sliding off the breast
  • Chewing of the nipple
  • Falling asleep at the breast having taking less than an optimal feed

The procedure to correct a tongue-tie in a baby is called a frenotomy. It is a simple, safe and effective surgical procedure. It is done while babies are awake at Dr Daly’s office. Babies return to feeding immediately afterwards. There is usually an instant improvement in milk transfer and maternal comfort.

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