Thus is my second child and first time BF so I am nearly clueless about it. I will state everything that's going on so hopefully someone will be able to comment.
After birth we were giving my daughter formula. (we thought she was tongue tied like my first born and I refused to go through that again. I had a week from hell and so did my nipples trying to breast feed a severely tongue tied baby) however, after the lactation specialist visited our baby we realized her tongue Tie was not as severe and a nipple shield allowed me to BF fairly easy.
I have noticed the past two days that my NB was getting gassy and a bit fussy after feedings. It has gradually gotten worse. She would feed for an hour and still seem unsatisfied .... Now she will be crying, having stomach pain etc. after feedings. It will take at least 1 hour to console her 7 /10 times. She then started to throw up, a little at first and then a huge amount two feedings later. She has had substantial wet diapers, but no good poops. She will fart really loud and there will be a small amount of poop in her diaper. I am not on special diet, I've been eating normally since BF. She is just in so much pain after feeding ... I think she's constipated ... I also don't understand his she could throw up so much ... Thanks for any help!!
BM digests much more efficiently then formula its ok for her to have little poops or none at all.
It is also normal for her to nurse for long periods of time. Pull her off the boob and burp her more to help with spit up.
Crying is also normal it does not mean she is in pain or having stomach issues. Her digestive system is still really immature. Gas fussiness and so on are all normal parts of babyhood.
you are doing good mama. Everything here sounds pretty normal.
The other thing I would say in terms if her other issues is that maybe you have a fast letdown or over supply? Doesn't really go skiing with concerns about her not getting enough, but worth a mention. I had that with my first, tho I don't think I knew it til she was older, and yours seems a little young for it in terms of your milk supply still establishing itself, but I'm no expert, so maybe it's not to soon for that to be an issue. At any rate, with mine, I could tell she was hungry, but feeding her during those days was a major fussy time because it was like drinking from a fire hose, so much milk coming so fast, so she'd pull off. She was clearly still really hungry, but eating was just not comfortable for her. We got past that hump by block feeding (feeding on 1 side for several feedings in our case, rather than switching back and forth... I apparently produce a lot of milk!), until my body got in sync with what she actually needed. Helped with the fussiness and spit up. Oh, and add my pediatrician at the time reminded us, usually it looks like a, lot more spit up than it is.
Hope things after working out! Good luck!
Below is useful info:
Would you be able to speak with a lactation consultant today? Do you have a local le leche league leader you can phone? Is baby scheduled for a Ped or midwife visit this week?
The issue of gas took me some time to figure out, so I hope this saves you some time. I figured out that I had to cut out all the foods that made me gassy...broccoli, cauliflower, beans, eggs, and so on. Those foods contributed to her gass. I also figured out that I needed to nurse her with her positioned upright, stradling my leg, facing my breast, with a good latch. I also needed to burp her for five minutes between breasts, and 10-15 minutes when she was all done nursing. It was most helpful to her to have her belly pressing into my hand to get all the bubbles out while burping. It was also very helpful for hubby to do the burping when exhausted me got overwhelmed. If she still had gas, giving her a belly massage (circling clockwise) and then pressing her knees into her belly to open up her bottom really helped. That was also great to help her get the poop out...and oh boy the poop! If she still had trouble, we gave her Little Tummies gas drops and she'd be great in 10-15 minutes. The gas drops were a godsend, because as much effort we put in, sometimes we just didn't burp her for long enough due to sheer exhaustion.
This stage lasted about 3 months, but I needed to avoid gassy foods for 6 months, then we were good to go. Hang in there, get all the advice/info you can and do whatever you think is best. If your doc isn't worried about the lack of poop, from my experience, your doc isn't crazy. I though my doc was a little crazy not to be worried that my baby wasn't pooping when everything I read said otherwise. But here we are 13 months later and I kinda miss having only 1 or 2 poops a week! :-)