You were probably the first person to know that something doesn't seem right. Sometimes symptoms caused by tongue tie are similar to other feeding problems, such as positioning and attachment problems, and so it will take a skilled professional to know whether there is a tongue tie. To diagnose a tongue tie a professional will need to hear about your history, watch a feed and perform an oral examination on your baby. Unfortunately, many professionals such as midwives and health visitors haven't had sufficient training in assessing for tongue ties. This can lead to babies being over or under-diagnosed. If you aren't sure you can ask your health care provider if they are trained in assessing for tongue ties or you can seek a second opinion.