My 3 week old has been vomiting a significant amount of milk through his nose and mouth after nursing on my left breast. I had suspected OALD or Oversupply.
He tends to be very noisy when feeding off that side...gulping and gurgling. He will also sometimes scream while still latched and appear almost pissed off but doesn't pop off. Just grunts loudly. While that side appears to fill up and become almost engorged and leak, it doesn't seem to squirt him. I should note that, as with my last pregnancy, I have no idea when I letdown. I don't feel anything different that would signal a letdown. So I don't know if that grunt is happening when I let down or if it's unrelated to letdown.
Over the past 24 hours, I've noticed that his usually mustard colored stool is now sprinkled with specks of green stool.
As an experiment, at around midnight last night I pumped the left breast and found that the milk was very watery (not thick or fatty). I wanted to see how much he would have to eat before getting to the hindmilk or fatty milk. I pumped 3 ounces before stopping and still no lipase. (I could have pumped much more from that breast...but stopped there to avoid instigating overproduction and worsening the problem.) The 5 oz. bottle I pumped from the right breast the previous night was very thick with lipase or fatty milk compared to this 3 oz. from the left breast.
I have been trying to feed him at a 30 degree angle and will take him off the breast to burp him occassionally before putting him back on. I've also been feeding himon the right breast for 2 or 3 feedings before moving him to the left, expressing the left by hand when it starts to feel engorged. But, honestly, I'm almost afraid to feed him on the left when the time comes because I don't want him to throw up.
Obviously, my first priority is to prevent him from vomiting so he doesn't lose that nutrition. Then I have to figure out how to increase the lipase production in my left breast. Any thoughts or suggestions?