I just discovered this forum and am so hopeful someone can help me!
My son is 5 weeks old. He was 5 lbs 13 oz at birth; he is now 6 lbs 5 oz. He gained 8 oz. in the past 17 days. Initially I thought breastfeeding was going great - he seemed to latch on well right away, and I had little pain. He fed for a long time - often over an hour - but I thought that was normal. Since birth I have aimed to feed him every 2 - 3 hours from the start of the last feed, though at night around 3 weeks I started letting him wake us up at night, rather than waking him up - he rarely sleeps more than a 3 hour stretch.
When he was 2 weeks old we went to a lactation support group just to see if everything was going okay. Though the IBCLC thought his latch was good, she weighed him after he fed on each breast and said he wasn't getting nearly enough (I can't remember how much). She also said she thought he had a tongue tie. I decided to wait on doing anything, since he has always made tons of wet and soiled diapers and seemed contented. Well, at around 4 weeks I started feeling like his extended feeding times weren't normal - he feeds for well over an hour if I let him - and lately when he drops off, as soon as he wakes up he seems discontented and is crying etc until I put him back on. We went through a couple days of green stools last week, but generally his stools have always been bright yellow and seedy.
We decided to get the tongue tie "released" on Friday morning, and though the latch seemed somewhat deeper right away, I haven't noticed a difference in feeding time. Additionally, he continues to seem frustrated anytime he's not sleeping or eating.
I have been pumping - once in the morning for the past week or so, and recently in the afternoon too - just to set up a stockpile and also because I've been nervous that the tongue tie will reduce supply. In the a.m. I can get 2 oz out of each breast. This afternoon I got a bit over 1 oz on one "full" breast, and let Sam (my son) nurse on the other side. Then I pumped the other side when he seemed done and was able to get about a 3/4 oz.
I feel like this isn't a supply issue but I'm not sure - think it might be more a feeding issue. He also gets tremendously fussy on the breast sometimes - on either - will cry and arch his back when feeding, especially in the evening when he does his cluster feeds. We do burp him often and he will burp, but doesn't have a ton of spit up.
I'm not sure what to do here - our doctor is concerned he's not gaining enough, and I am concerned that he seems always hungry, even with his hour long feeds, and seems to be acting weird while feeding - as though he can't quite latch, always. Sometimes it's fine, but in the evenings especially he starts pushing out the nipple with his tongue and seems so frustrated. This has been true before and after cutting the tongue tie.
I am feeding him about 10v times a day; we get about 2-3 soiled diapers (often more) and many wet diapers a day.
Also we've been using our finger to let him suck when he's really fussy but we know he's full - is this going to mess up his ability to latch onto the breast? Relatedly, I'd like to offer him a bottle soonish but am concerned it will make his issues at the breast worse, but it will help him gain. What should I do???? I'm getting so discouraged and confused with the multiple issues.