Hiya! I'm looking for some recommendations regarding overactive supply.
My one month old baby girl has acid reflux and severe gas problems. Her pediatrician prescribed maalox for the reflux and gas drops as needed (which seems to be every 2-3 hours). The gas drops seem to work for the most part, but she does still have at least a couple episodes a day where her belly is bloated and hard, she's screaming and it takes her 10-15 minutes to pass gas and/or poop. We try the bicycle movements and massage, but she generally has to just work it out on her own.
She also has problems with gas when she's sleeping. She sleeps in her car seat (only thing she'll sleep in right now, plus it keeps her upright to help with the reflux) and often cries during the night while trying to pass gas. We often have to take her out, let her stretch out and fart, then she'll calm back down.
In doing some research to see if I could find a cause for the gas, I think I figured out I have an oversupply and an overactive letdown. I've just started trying to pump off an ounce before feeding her to try and reduce the amount of foremilk and to help with the overactive letdown. But I'm wondering if that's enough to pump off? I can easily pump 5-9 ounces per breast after 4+ hours of no feeding. (I pumped 14 ounces the other day after about 6 hours of no feeding.) I watched the pumping tonight and the first 2 ounces looked almost just like water. By ounce 3, it started to get a little more color to it.
My question is, do you think I should pump off more than an ounce? Sometimes it's hard to get just that ounce out while she's screaming to eat, but if it'll help her gas in the end, I figure I should do it. And I don't want to pump more than I have to since I already have more than enough supply. (And I'm okay with the oversupply as long as it doesn't hurt her - it's giving me a wonderful back-up supply for when I'm back to work full-time, plus I'm able to donate some.)
By the way, her weight gain is great (born at 8 lbs, 8 oz and was 10 lbs, 13 oz at 3 weeks). And we're using a nipple shield due to flat nipples.
She's bottle fed (with pumped milk) by my husband as needed. And she's a hungry girl - will usually take 4-6 ounces per feeding by bottle, but she does eat slowly (possibly due to the reflux?) and feedings often last 1-2 hours. To give you an idea of her appetite, when my parents watched her a week ago, she ate 11 ounces in 4 hours.
So, do you think I should pump more than 1 oz off before a feeding? Any other suggestions you have?
Thanks in advance!