I'm hoping someone out there might have some advice for me, because I am at my wit's end. I really, really want to continue EBF, but it's a daily struggle and my baby doesn't seem to gain much weight.
My baby was born on 07/11/12, weighing 7 lbs and 8 ounces. At two weeks old she was diagnosed with reflux (GERD). She was put on Zantac and started doing much better. By her 2-month appointment, she had gained four pounds (she was 11 lbs, 7 ounces). A couple of weeks after that, her reflux suddenly became a lot worse and she started refusing to nurse a lot. Since then, it's been a constant struggle to get her to nurse, even though I try to nurse her every two hours at the latest (though only 2-3 times a night). For the past five weeks, we've been hovering around the 12 lbs mark, sometimes she gains a few ounces, sometimes she loses a few.
Her meds were adjusted twice and she's now been switched to Prevacid, but still no improvement. She basically latches on, sucks for a few seconds, then starts getting fussy and quits. I get her to latch back on ... and the cycle continues. We never get any continuous sucking for more than a few seconds.
I try pumping/hand expressing milk after each nursing, but haven't been very successful at all. With the pump, I only get a few drops. Manually, I get 1/4 to 1/2 of an ounce three or four times a day. We've started feeding that to her in a bottle at night, which she takes without any problems.
I've seen an LC multiple times and while she agrees that it's likely reflux, we still haven't been able to get her to nurse better. I've tried tons of different upright nursing positions (e.g. football hold with her sitting upright, her lying on top of me, nursing her in a carrier while standing), but nothing seems to make a difference. It's almost like she's just not that interested in nursing anymore. She must be hungry, but she rarely shows actual signs of it.
My daughter's pediatrician is monitoring her weight every week, but so far doesn't seem overly concerned (even though she hasn't gained anything in five weeks). She's also tested her for other causes (ear infection, UTI, etc.).
As far as diapers go, she has about 2-3 poopy diapers per day and 5-6 wet ones (she had more before this phase started). Her poop is frequently green and smells a little odd, almost metallic (could that be from the Mylanta she gets occasionally?).
I should also add that I've eliminated all dairy from my diet for the last three months (and I've been trying to identify other possible foods that might affect my baby, but haven't found any patterns yet).
This week, my period returned, so now I'm worried that because of her decreased nursing, my milk supply is dropping.