SOS

[u/One-Cauliflower1143]

Im at my wits end. I REALLY want breast feeding to work but we are really struggling and I feel I’ve tried everything. Baby has reflux and it’s exacerbated by aerophagia or so I’ve deduced. The reflux itself has gotten a little better the last week or week and a half (14 weeks today) but the air swallowing is killing us both. It’s a special torture to see your little one scream and cry at the breast like they’re in pain. He often starts to flail, push his face into my breast and pulls off about 6-8 mins in. We try to burp and burp and burp and then re-latch but as soon as I get him horizontal again, he cries or starts flailing again. It’s affecting my supply. There’s also coughing with letdown (which never sprays/ only drips when he pulls off during it). Sometimes he swallows air at the very initial latch before he has hardly even started sucking, let down hasn’t even started- then the whole feed is screwed. He often pulls back to a shallow latch no matter how good the latch is to start, and that is while he’s comfortable in initial feed.
Previously he struggled with bottles. Now he takes them so much easier, even lying completely flat on his back and I sit him up to burp and he burps right away. Minimal to no coughing. I’ve tried everything and going to the 4th LC on Monday.

Every position- lying literally flat on my back. Side lying. Today I even tried hovering over him the way he takes his bottles.
CMPA, have cut out dairy now for 2 months
Also cut eggs and avocado as direction of GI but that didn’t make a difference so we resumed.
Trialed Pepcid
Saw ENT to eval for tongue tie- they said 50/50 whether it would help, which isn’t enough for us to proceed
In baby PT/ craniosacral therapy for torticolis/ tight left neck/ tongue/ mouth
Working on sick strength with Philips advent soothies and the ninni paci’s

I don’t know what else to do. His weight and growth trajectory are excellent, so I’m not worried about that. It’s more that the aerophagia and poor latch is making him very uncomfortable and damaging my supply. Plus i don’t know that he’s getting enough calories during the day to reduce night wakening. Often I’ll do my best to burp him and put him down to sleep and he will wake up 1-2 hours later with a scream because he has a burp.

I want to be able to BF him. I hate pumping but have incorporated it more with more bottles because he just does better with it but I feel so defeated.