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Infant with enlarged tongue

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My nephew (a faternal twin) was born full term 6 weeks ago at 7 pounds. He had continued to put on ounces, but it takes him working hard over an hour to eat a 4 oz bottle. The nurse and doctors were very alarmed today to find he has an enlarged tongue. My sister is set to see a specialist tomorrow. What would be causing his tongue to be so enlarged?

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