07/26/2020
See it all the time
Tongue Ties don’t just impact breastfeeding success, they can also contribute to picky eating from the time babies start solids to much later in life. I have had SO MANY kids who ended up on my caseload in elementary school because they “never grew out of picky eating as a toddler” & the culprit all along was a strand of tissue called a tongue tie.
😛We all have a frenum or frenulum that helps anchor our tongue, but when that tissue is too restrictive kids tend to stick chicken nuggets, French fries, yogurt, fish crackers…foods that just SQUISH between the teeth & are easily swallowed.
🧐Here are a few FUNCTIONAL signs that your child may have a tongue tie (ankyloglossia) & would require an evaluation by an experienced SLP or OT.
👉🏼Retraction of tongue upon presentation of the spoon
👉🏻Inadequate caloric intake due to inefficiency & fatigue
👉🏿Tactile oral sensitivity secondary to limited stimulation/mobility of tongue
👉🏽Over-use of lips, especially lower lip
👉🏽Difficulty progressing from “munching” to a more lateral, mature chewing pattern
👉🏻Tongue restriction may influence swallowing patterns & cause compensatory motor movements, which may lead to additional complications, such as “sucking back” the bolus in order to propel it to be swallowed
👉🏻Possible development of picky, hesitant or selective eating because eating certain foods are challenging
👉🏽Gagging & subsequent vomiting when food gets “stuck” on tongue.
👉🏼Secondary behaviors to avoid discomfort that are thus protective in nature, such as refusing to sit at the table or being able to eat only when distracted
👉🏼Dental decay in childhood & adulthood because the tongue cannot clean the teeth & spread saliva
👉🏻Possible changes in dentition with certain compensatory methods to propel bolus posteriorly for swallowing, such as finger sucking
👉🏽Open bite
👉Snoring
👉🏼Drooling
👉🏻Messy eating
👉🏿Requiring frequent sips of liquid to wash down bolus.