Which symptom may indicate ankyloglossia during breastfeeding?

Ankyloglossia, commonly known as tongue-tie, can lead to difficulties in breastfeeding due to the limitations in tongue movement. Sore nipples after the baby releases is a symptom that may indicate ankyloglossia because a baby with this condition might struggle to achieve and maintain an effective latch. The improper latch can cause pain and discomfort for the breastfeeding parent, leading to sore nipples.

In cases of ankyloglossia, the baby's inability to move the tongue sufficiently may prevent them from properly gripping the breast, which can result in ineffective feeding techniques, creating additional friction and pressure on the nipple.

The other symptoms do not link directly to ankyloglossia. Excessive crying during feeding might occur for various reasons unrelated to tongue movement, such as hunger, discomfort, or fatigue. Immediate latch without discomfort typically suggests a good latch and technique, which would not be expected in cases of ankyloglossia. Consistent weight gain in the baby usually indicates effective feeding and sufficient milk intake, which may not be the case if there are significant feeding issues stemming from tongue-tie. Thus, soreness after release is a more direct indicator of challenges posed by ankyloglossia during breastfeeding.