My daughter is 4 weeks old and so far we've been doing well breastfeeding. She spits up a lot and cluster feeds during the day quite a bit, but until today it wasn't really an issue. Today, however, she was fussier than usual and cluster feeding, but would fall asleep after a few minutes on the breast. When she did spend any length of time on the breast, she would spit up (seemingly) most of what she took in and then want to nurse again. When falling asleep on the breast, however, her latch would get lazy and became increasingly painful as the afternoon wore on (despite my breaking the latch and trying again). We repeated this cycle for hours.... nurse, spit up, nurse, fall asleep for a few minutes, spit up, nurse again.... By 6 I was practically in tears... My letdown was incredibly painful and just having her on the breast was making me tear up. My husband has had to warm up frozen breastmilk to feed her because I just couldn't do it.
I have an appointment with my doctor this coming week (she is both my doc and my daughter's ped) and I plan to call the lactation consultant tomorrow to get some advice, but my question is really multiple questions...
First, could she be spitting up because she's not really hungry but just comfort feeding? If so, is there anything I can do to avoid this cycle?
Second, what can I do about her sleepy latch? She'll relatch well but then slowly it gets more shallow as she gets sleepier.
Third, is it possible I have thrush without her showing any signs? I have a rash on both breasts that my doc and I thought was caused by my daughter's nails scratching me and it seems to be clearing up with antibiotic ointment, but I'm worried about thrush too since I have painful letdown in general and I read that can be a sign. For what it's worth, my nipples are totally normal looking and my daughter has no signs of thrush. It's just the rash on my breasts (not on the areola or nipple) and the letdown pain that made me think thrush could potentially be involved.
Sorry this post is all over the place. I've never felt this kind of pain before while nursing and I found myself avoiding my daughter's feeding cues this evening, which made me feel horrible. So I'm both a bit of a physical and emotional wreck right now. Any advice would be appreciated.