My daughter is 18 days old today and I have been exclusively breastfeeding since day 1. After a day or so, she was able to latch on and my milk came in. She would burp randomly on her own. By day 5 or so, I noticed that she would cough/gag on my milk - I figured out that I had an overactive letdown. I started block feeding (I am now just feeding from one side every feed, unless she's cluster feeding), hand expressing when needed, and trying to recline back and keeping her somewhat upright when feeding her. This has helped with the gagging/coughing/wheezing.
However, now there are other problems. Regardless of when or how many times we burp her, she will spit up. Sometimes it's a normal baby spitup amount, but other times it's the whole feed and she'll cry and/or look like she has a bad taste in her mouth, grimacing. She'll also randomly cry out in her sleep and grimace, and this morning she was fussing in her sleep for 2 hours, arching her back, stiffening, curling to the side. She spits up in her sleep almost every time she sleeps. I wasn't so concerned before, but now she is crying out more, fussing longer, and grimacing after burping/spitting up. It is rare for her to burp without having anything come up. I'll nurse her, she'll fall asleep, I burp her, she cries and wakes up, I put her back on my breast because that's the only way she'll calm down, and either she'll fall asleep on me and I leave her on me, or I try to burp her again so she'd be more comfortable, or I'll just place her in her crib. She rarely burps when we try to burp her like this, and if she does, it takes a long time. If we don't get a burp out of her and just place her in her crib, she'll spit up pretty soon after, fuss, and wake up again. The only way she seems comfortable is if I let her sleep on my chest or stomach, but then she'll spit up the moment I lay her down in her crib or to change her. Oh, and the spit up is sometimes mixed with mucous, and other times it's mixed with curdled milk. She also hiccups rather frequently. Some days are better than others.
We saw the pediatrician today, and he didn't seem too concerned since she gained about 20 oz in a week and a half. We are to follow up in a week though, especially since I mentioned that she recently began to refuse to latch on at times, having my breast in her mouth but not closing her mouth onto it.
- Should I wake her to burp her when she falls asleep while nursing?
- Should I burp her every 3-5 minutes while nursing? When I try that, she'll spit up the first burp, and the subsequent burps sometimes never come. She then gets sleep and will not try to feed again.
- Do you think she has reflux? I mean, I know all babies have some degree of reflux, but should I try zantac?
- What about simethicone?
- Any other suggestions? Thank you!