Questions about fever

No fever is expected as a result of the treatment. A wound infection or inflammation either. Fever is a body temperature above 38 degrees Celsius. In the event of a fever in babies under 3 months of age, you should consult your doctor. It is possible that your baby has a virus or other infection. In case of muscle ache or discomfort after the treatment you can give acetaminophen.


It is best to keep a minimum of 2 weeks between vaccinations and a possible release at the Tongue Tie Clinic.
Sometimes babies get a fever due to the reaction to the vaccination and sometimes they have muscle pain in and around the tongue after the surgery.
This is why it is not a nice combination for the baby.

Other things you may notice after the release

After the release, you may notice things that may last a little longer, such as lip swelling, drooling, gagging, or other discomfort or peculiarities.

* Granulation tissue; This is a small lump of extra scar tissue that can form on the wound. If you suspect you see this, send a photo, it is not serious and if it is a hindrance to drinking it can still be removed.

* Drooling; Because the swallow has to be learned again after tongue tie release, it is possible to notice drooling for a while in a child or baby.

* Reattachment; After the treatment, the wound simply wants to heal with scar tissue.  With doing aftercare you hope the wound does not close too quickly or too tightly. If too much reattachment occurs, the tongue or lip mobility can be limited again. When you live abroad it is the adviceble to check the healing with somebody knowledgable in a week, that can also be done at our clinic if you can stay a few days, but has to be arranged with making the appointment for treatment. In The Netherlands you can call the Tongue Tie Clinic for an appointment.

* Muscle pain; After the treatment the adults and older children notice (muscle) pain or discomfort in the jaws, tongue and throat sometimes as well. See the FAQ about pain relief.

* Baby spits more; Because the baby drinks more effectively, it may be that the stomach is not used to the amounts and it spits back up, but it may also be that the baby is still drinking air for a while.

* Smelly breath / mouth; We sometimes hear this from parents and can last from a few days to a week, it’s ussualy no problem whatsoever.

* Swollen upper lip; This can last for up to 5 days after lipband treatment.

*  Quivering jaws remain visible longer; Because the tongue, after it has come loose, many of the muscles still need to be trained, it may be that the compensation continues with the jaw muscles, but compensation behavior may also need a chiropractor or manual therapist to remedy it. See the FAQ about compensation behavior and videos explaining this.

* You have to help lips flange out; The baby is not used to flanging the lip, this may be helped.

* Suction blisters still present; They can be present for longer, especially on the upper lip.

* Crying doing aftercare; What we hear from parents and notice at the aftercare consultation that the baby cries with the aftercare exercises, but stops as soon as you stop or start feeding or changing diaper and such.

* White plaques/debris on tongue still visible; Because the palate is often high and the tongue is not well trained to stay up, even at rest, the white plaques/ debris on the taste buds remains.

* Bottleteat; We notice that the teats with a broad base cannot go deeper into the mouth, so a teat that can go deeper and gives more mouthfilling, such as the smaller, narrower types, is often better.

* Baby stays upset longer than 48 hours, crying, drinking worse. In the older baby who has had to compensate for a long time with a tongue tie. Before the treatment, often these babies were fussy and drinking poorly and found there own “technique”. Treatment of compensation behavior is often necessary. See FAQ compensation behavior. People often give painkillers for longer. But one also has to take into account a normal virus infection occurs at the same time. You can go to the doctor with a fever, see the fever" target="_blank" rel="noopener">FAQ about fever.

* Gagging may still be present after the release.

* A baby cannot swallow the tongue after the release.

* Apnea are also observed in babies . It is not directly related to the release. Tongue tie can be related, read the research.

Pain relief around the procedure / paracetamol

Prior to the procedure, the doctor will numb the tongue or lip tie locally with surface anaesthesia on a cotton swab.

Overall anaesthesia or infiltration anaesthesia does not outweigh the disadvantages in babies and young and children.

A paracetamol suppository may be given before the procedure or afterwards. This is also a possibility prior to the aftercare exercises.

Paracetamol is a relatively harmless medication that has a fever-reducing and analgesic effect. You can give this on the basis of age and weight.

According to most package leaflets, the use of paracetamol should be given in consultation with a doctor under three months. However, it is indicated in pain, acute and postoperative. https://www.drugs.com/paracetamol.html

Rectal (suppository) is the most user-friendly. You can insert the suppository by sliding the tip up to 1 cm past the anus. Sometimes it is useful to hold the buttocks of your child together for a few seconds so that the suppository is not expressed.

You can buy paracetamol at the pharmacy and some drug stores. Because paracetamol can also be given to reduce fever, sales for children under the age of 3 months are not recommended with this indication. At a body temperature of 38 degrees or higher below three months you should always warn a doctor. The paracetamol is therefore exclusively given to relieve pain and discomfort.

Under the three months; 60 mg three times a day rectally

From three to 12 months; 120 mg three times a day rectally

From 1 year or from 10 kilos; 240 mg three times a day rectally

Temporary complaints after treatment

Pain and discomfort, see this FAQ.

Temporarily more throwing up because the baby drinks more effectively, the stomach may not yet have been used to the new amount so quickly.

There may be some swallowed blood after the treatment. That doesn’t do any harm. A little green / black solidified blood  can be in the diaper.

More saliva.

Temporarily bad smell from the mouth. This is because the ties are removed and scalded at the same time.

Temporarily more difficult to latch on, more painful latching on, refusal of breast or bottle, also look at the FAQ about remedying compensation behaviour.

Suction blisters can stay for a while, your child is used to drinking in a compensatory way and it can take some time before it is gone. It does no harm.

Your baby can be very grumpy the first 24-48 hours. Also read the frequently asked question(link) about it.

Fever; in fever, the body temperature is 38 degrees or higher. It is very unlikely that this is due to the treatment, rather though another infection. It is important that your child is not drowsy and continues to drink well. If refusing milk give milk from a bottle or with syringe.

For children under 3 months with a fever you should always warn your doctor.