Re: Overactive Let Down, Reflux or Allergies - low weight ga
Much of what you describe sounds like oversupply and fast letdowns. You are pumping extremely large amounts of milk. 2-4 oz when pumping instead of feeding would be more typical. 4-6 oz is very much on the high side, and 8-10 oz is absolutely oversupply. Also, the baby's behavior matches fast letdowns very well- the gulping, the spit-ups, the clicking, the pulling on and off, the infrequent feedings (most 3 month olds nurse a minimum of 8 times a day, and many nurse more frequently than that, in the 10-12 range, or even more often).
But there are things in your list that could match tongue tie, as well- the clicking, the dribbling even when being bottle-fed. I'd want someone to take a very careful look in baby's mouth and see if there's an issue there. How does nursing feel?
Nothing on your list really makes me think allergy except perhaps the gas and mucous. But gas is very normal for babies and when a mom has oversupply, it can make the poops look pretty odd.
If you want baby to gain more weight, the first thing to try is nursing more often. Again, 6-7 nursing sessions is on the very low end, even with one additional bottle. It sounds like baby isn't nursing much at night, so you might want to try waking her for a dream-feed right before bedtime, and maybe once more during the night. Also, if you're using any sleep-extending techniques- swaddling, pacifier- you might want to take those away and see if that results in increased night-waking and night-nursing.
I'd also encourage you not to focus on the week-to-week weight gain. Pediatricians don't weigh babies every week because they know that growth isn't perfectly smooth, and that if you zoom in too closely on a baby's growth, you can miss the broad patterns. I'd also make sure that proper weighing procedure is followed each time. Use the same scale, and make sure that baby is always weighed nude. When there's any concern about weight gain, ounces matter, and you don't want to weigh baby in a diaper one time and nude the next time.
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