Hi J.,
My name is J. Simpson and I am a Lactation Consultant in Sacramento. Let's start with the simple stuff: Unless your son is having stools that are dark brown and look like little hard balls, he is not constipated. Fully breastfed (ie - NO formula) babies often poop infrequently going from pooping every day to pooping once or twice a week or even once every couple weeks! :) So no worries there.
Now for the hard part: You need to see a Lactation Consultant ASAP. There are some good ones in your area - if you e-mail me privately at ____@____.com I can refer you to someone I know who can help.
It is NOT normal for a baby to arch at breast while nursing. It is NOT normal for a 5 month old to be wheezing. I suspect this is not reflux but something more that needs investigation by someone who knows what they are doing. I am surprised your pediatrician has not jumped on the wheezing aspect of this. If you have not brought this up to him I suggest you do so immediately.
Here are my thoughts of what is going on - and I am not trying to scare you but do want you to be aware of some possible things that may be going on that need evaluation: I suspect that for some reason, your baby might be either getting too much milk too fast, or may be having some challenges with swallowing the milk he gets. Some babies will get milk stuck in their vocal folds rather than having it go down the esophagus as it is supposed to. When it gets stuck in the vocal folds, baby will make squeaky noises when they breathe and if there is enough there it can cause them to sound congested in the throat. The wheezing is what really bothers me - I am concerned that he may be getting milk into his airway (lungs). Yes this does happen and often times it is not a problem as breastmilk simply absorbs into the lungs. But too much breastmilk in the lungs can be a problem and warrants investigation. He may also have a severe case of reflux that is causing all these symptoms - but if that is the case, he needs a thorough evaluation and proper treatment - NOT to have Zantac thrown at him as a GUESS and 'let's see if this helps'. And lastly, there may be an allergy that is causing all this (that would be the simple answer!). But you need help determining exactly WHAT is happening.
So listen: Your GUT is telling you something is not right, right? Sounds like the Drs are blowing you off from your note. This is NOT cool and I hate it when this happens to moms. Start PUSHING for answers. DEMAND that someone pay attention to what your son is going through. The nursing behavior you are describing is not normal nor enjoyable - which is what breastfeeding should be. Search for (or I can help) a GOOD LC who has lots of experience with older babies (if you call around on your own ask a LOT of questions to those you talk to) with nursing challenges, take him back to the Ped and DEMAND an evaluation - DEMAND to be heard and not blown off with "He'll outgrow this".
Bottom line: TRUST your GUT, J.. It is telling your correctly that something is up.
I wish you the best in solving this - and just to let you know: my first and second sons had similar issues...one was reflux (severe) and one was a severe allergy to cows milk...and I have worked with well over 300 moms in situations similar to yours with varying reasons for the symptoms. Keep pushing for answers - change Docs if you need to. Just trust your gut...it knows...
Warmly,
J. Simpson, IBCLC, CIIM
www.breastfeedingnetwork.net
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