Some of the following signs and symptoms of problematic bottle feeding could be due to tongue tie.
We would like to also caution you that while these symptoms may be red flags to evaluate for tongue function, some of these may be caused by other factors, such as: a fast flow rate, swallowing difficulties or dysphagia, gastro-esophageal reflux, etc. But do look out for the following symptoms:
Difficulty latching to the bottle,
Gagging when bottle nipple is presented,
Chewing/gumming the bottle nipple,
Clicking sounds while sucking,
Collapsing the nipple,
Pulling away from the bottle frequently,
Dribbling while feeding,
Coughing during feeds
Does you child have any such symptoms.