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Ankyloglossia — DCH MCQ

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ModerateNeonatologyAnkyloglossiaDCH

A 10-day-old baby has difficulty latching and maternal nipple pain. Examination shows a tight anterior frenulum and poor tongue elevation; weight gain is borderline but hydration is satisfactory. What is the most likely diagnosis?

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Correct answer: B — Ankyloglossia

Breastfeeding difficulty with restricted tongue movement is consistent with ankyloglossia. Reflux can cause posseting but does not explain poor tongue elevation or nipple trauma during latch. The pearl is to assess feeding function, not simply the appearance of the frenulum.

Reference: NICE IPG149; NICE NG75