It could be a poor latch, we didn't seem to get off to a great start with latching. He wasn't extending his tongue and was pinching my nipple pretty good in the early weeks. Not enough to make my nipples super sore though. He just never really seems to be satisfied. Before I was just persistently relatching him sometimes for hours to make sure he ate enough. I have gotten so frustrated though I have decided that if he keeps coming off that he must be done. In the last couple days he is pooping and has way less wet diapers than before. Another thing that concerns me is sometimes he chokes randomly, like he is gasping for air. Today he was flat on his back when he choked and then spit up. I have also given up on co sleeping. The only way I can get him to sleep at night is to put him in his stomach in the bassinet and just let him cry himself to sleep. Otherwise I spend hours trying to swaddle, walk around with him, nurse him to sleep, all which have very little success. It's extremely difficult for me to do nothing while he cries but I don't know what else to do. I finally broke down and got a pacifier. I talked to a lactation consultant and she thought that maybe he was getting enough within 5-10 min but still needed to suck. Doesn't explain why he eats, goes to sleep, and wakes up 30 min later still hungry. I can't feed him every hour, we both have to sleep sometime.