Tongue Issues in Infants: Causes and Concerns

Tongue issues?

Hello Dr.
Hong,
I apologize for reaching out again with more questions.
My child, who is over 8 months old, occasionally sticks out his tongue.
I have asked you about this before, and you provided an answer, but now I would like to know if this could prevent him from closing his mouth completely.
Sometimes he is able to close it while sleeping; is there a connection between these two behaviors? Additionally, could this be related to a genetic disorder? Is it possible that it could be a rare disease?
If a family member experiences a sore throat starting from the tonsils during a cold, could this be inherited by the baby? My child has recently been getting colds that begin with tonsillitis.
We have been visiting an ENT specialist, and he has been using throat spray.
What impact could frequent use of throat spray have on a child?
I would greatly appreciate your insights on these matters.
Thank you and best regards,
Melody

melodi, 30~39 year old female. Ask Date: 2000/12/27

Dr. Hong Shaohui reply Pediatrics

Hello, due to not having seen your baby in person, I cannot provide a precise answer to your question.
Generally, family members with tonsillitis can easily transmit the infection to children; however, it is not hereditary (tonsillitis is not inherited).
The nasal sprays commonly used in otolaryngology are short-acting and are absorbed quickly, providing immediate symptom relief.
When administered by a physician, using the spray for treatment is typically not problematic.

Reply Date: 2000/12/27

More Info

Dear Melody,
Thank you for your inquiry regarding your child's tongue issues and related concerns. It's understandable to have questions about your child's development, especially when it comes to something as crucial as their oral health and overall well-being.

Tongue Position and Mouth Closure
Firstly, regarding your observation that your 8-month-old child extends their tongue and sometimes has difficulty closing their mouth, this can be relatively common in infants. At this age, many babies are still developing their oral motor skills, which include the ability to control their tongue and mouth. The fact that your child can close their mouth while sleeping suggests that this is likely a developmental phase rather than a permanent issue.
Infants often explore their environment with their mouths, and sticking out their tongues can be part of this exploration. However, if the tongue protrusion is persistent and seems to interfere with normal feeding or breathing, it may warrant further evaluation by a pediatrician or a pediatric dentist.

Genetic Conditions and Rare Diseases
As for your concern about genetic conditions or rare diseases, while certain genetic syndromes can affect tongue position and oral motor function, they are typically accompanied by other symptoms. If your child is meeting other developmental milestones appropriately, it is less likely that this is a sign of a genetic disorder. However, if you have a family history of genetic conditions or if you notice other concerning symptoms, it would be prudent to discuss these with your pediatrician.

Inherited Conditions and Tonsillitis
Regarding your question about whether a family history of tonsillitis could be inherited, while there is no direct inheritance of tonsillitis itself, some children may be more predisposed to infections due to genetic factors that affect their immune system. If your child is experiencing recurrent tonsillitis, it is essential to consult with an ENT specialist. They can evaluate the frequency and severity of the infections and recommend appropriate management, which may include lifestyle changes, medications, or even surgical options if necessary.

Effects of Throat Sprays
You mentioned that your child has been using throat sprays for their tonsillitis. While throat sprays can provide temporary relief from pain and inflammation, it is crucial to ensure that they are safe for infants. Many throat sprays are formulated for older children and adults, and their use in infants should be closely monitored. Always consult with your pediatrician before using any medication or treatment on your child to ensure it is appropriate for their age and condition.

Conclusion
In summary, while your child's tongue protrusion and mouth closure issues can be concerning, they are often part of normal development. If you have ongoing concerns, especially regarding genetic conditions or recurrent infections, it is always best to consult with your pediatrician or a specialist. They can provide a thorough evaluation and peace of mind.

Thank you for reaching out, and I hope this information helps clarify your concerns. Please feel free to ask any further questions you may have.

Best wishes,
Doctor Q&A Teams

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