I think I might have OALD.
My baby, 5 weeks, has explosive and frequent poops and lots of gas. She chokes and coughs on my breast when I let down, and latches to the nipple, which has caused some soreness. Every 2 to 3 hours (and for one 4-hour stretch in the early morning), she nurses for 15 minutes, more or less, on one breast. I alternate breasts with each feeding. She is not always actively suckling and frequently falls asleep at the breast, so I will sometimes offer her the second breast to keep her interested.
My DD is often unhappy the moment she's done feeding, and visits to the changing table are traumatic. This is especially true at night, when she's more awake. Our pediatrician has her on clotrimazole for a persistent diaper rash, but in a week I don't see much of a change.
I was afraid my daughter had diarrhea last week from so many stools and took her to the pediatrician, whose advice was to supplement with formula. I didn't do this and she never became dehydrated.
Since it can be 6 hours between feedings on one breast, I'm already doing block feeding, right? Might my problem be something other than OALD, like colic or food allergies? These breastfeeding issues are taking away much of the joy of being a new parent. I feel like a bad mommy and hate that my milk is making my child sick. Is this a case where it makes more sense to switch to formula when she turns 6 weeks? I'm exhausted, and I can't imagine continuing like this for another two weeks or longer.
What should I do?