Hi. *hugs* mama, I've been there.
Is the tear visible? Or do you think there is a tear because of blood?
My dd is sensitive to dairy, soy, citrus, and pork. I did the Dr. Sears diet and after 2.5 weeks *most* of her symptoms were gone. But she still refluxes (she's a spitter) a lot, and we use pepcid to control the pain for her.
I'm sorry it took you 3 pedis to get a diagnosis, but I think you might keep looking.
Colase - yes, that's a stool softener. Does she have hard stools? BF babies almost never ever get constipated, at least "not like some babies" like your pedi says. what does her poo look like? I spent a lot of time studying this while dd was in pain, so go ahead and give me all the details
slimy, green, stringy, all sounds like a food intolerance to me.
Personally I'd skip the colase (and the suppository) and just go on the diet, it's amazing how quickly that can fix things. Cereal doesn't necessarily work for GERD, studies have shown no difference, and starting solids early (before 6 months) can increase the risk of your baby being allergic to those foods as an adult. My dd never took a bottle either.
If pedi thinks GERD, why didn't they give you meds for that?
Does your babe have a diaper rash of any kind?
A little on us.. I noticed dd had "issues" - colic, funky colored poo, etc. at 3 weeks, especially if I had dairy. At 6 weeks she began spitting a ton, screaming in pain, crying constantly, not napping, arching her back, at 8 weeks she was diagnosed with GER. We started on pepcid and it helped within a few days with the pain and arching. At 11 weeks she got fussier again and her dose needed upped, and things got better again. We had every color poo - orange, neon, green, brown, etc. and foamy, slimy, stringy, chunky, stinky, etc.
I started the Dr. Sears diet soon after. The first week was easy, I like turkey, and I had a lot of help coming up with meal ideas using the limited choices. 2.5 weeks later she wasn't screaming. She had "textbook" poo - yellow, mustardy, no chunks, no slime, no mucous, etc. So I started adding foods, I added a few "low allergens" first - chicken, apples, grapes, peaches, ever 2 or 3 days. Then I added a "high" allergen (corn) and waited 4-5 days. The reason I picked corn first was because most regular meat in the stores are fed corn, which is why Dr. Sears says to use free range meats. If she was ok with corn then I could eat regular meat again. Then I added some more low ones (banana, oats, etc.) and then I tried oranges. She reacted. Had to wait until the reaction went away. Added some more low again, then wheat, then some low veggies, then beef. So far so good. Discovered pork by accident - I had a chicken sausage with a pork casing on it, bad day for us.
Beware, many deli meats have dairy in them.
I'd be glad to help you plan meals if you want to do the diet. It's not that bad. The first week is easy, the second week is really boring, and the third week is difficult, but then you see results. It's so worth it.
The screaming her head off stopped 2 weeks in to the diet, it takes at least 2 weeks to get dairy out of your system. Soy is very similar to dairy.
And at 4 months something magical happened. My baby became happy. She is still high needs, must be moving around, nurses frequently (not every 3 hrs like "they" say babies will), and fusses some, but it's a new child compared to what we had before.
We also took her to the chiro. I found a chiro who specializes in pregnant women and babies. My water was broken for 31 hrs before she was born, and I pushed in a bad position (had an epidural after all that time). She was "tight" in the areas where the nerves for digestion, stomach, bowel, bladder are, and after a month of chiro 2x/wk she is much much happier. Baby chiro is a lot like a massage.
Go with your gut mama, do what you think is best, even if it's not what the pedi says.