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Infants with Feeding Difficulty

Breastfeeding Complications

Commonly Caused by TT and LT



poor latch

poor weight gain

chewing the nipple

reflux/spitting up often

gassy or fussy often

unable to hold a pacifier

slides off the nipple easily

frequent eating




painful latch

continued painful breastfeeding

prolonged nursing sessions

creased or flattened nipples

blistered or cut nipples

incomplete breast drainage

plugged ducts or mastitis

feels like a full-time job


If a baby has restricted movement of the tongue and lip due to tongue and LT, they may not be able to latch deep enough or seal on the nipple during feeding. This can lead to swallowing of air which is called “aerophagia”. This ingestion of air increases risk of causing colic symptoms, reflux and gas production for the baby. You may also hear clicking noises when the baby is feeding which is another sign that the child has not latched properly during feeding.


It is likely that your pediatrician and/or lactation specialist will have diagnosed this problem for you when your child was first born. The Anterior Tongue-Tie (ATT) is much easier to diagnose as the tongue is tethered to the floor of the mouth at the tip of the tongue. The Posterior Tongue-Tie (PTT) is more difficult to diagnose, and can often be “hidden” under the tongue due to its retracted position. Both PTT and the more visible ATT can cause the same problems with breast feeding. The ability of the tongue to elevate upward is essential to proper breastfeeding and swallowing. In the photos below you can see the difference in the sucessfully treated TT, because the tongue is now free to move upwards and function normally.  An infant or child with a PTT maybe able to move their tongue out but not up, and this is a common reason that PTT conditions remain overlooked.

Successfully Treated TT

Myths Related to

Breast Feeding and TT/LT

TT and LT do not affect breastfeeding


All TT’s need treatment


All TT's  are tethered and easy to see


Reflux and aerophagia are never related to TT


Anesthesia and sedation is required to treat


Breastfeeding is supposed to be painful


Some infants struggling to nurse are “lazy eaters”

Before TT Treatment