I'm looking for some advice.
LO is 12 weeks old. He has been almost EBF since birth - he's been getting one bottle of formula a day in the evening (not his bed time feed) for about a month and a half. Everything was going really well, I never had an latching issues, or soreness/cracking, etc.
A couple of weeks ago I noticed that every once in a while (about one feed every couple of days), he started getting a little squirmish during the feed and let go, but I was able to get him to re-latch within a minute or so. Then this past week I went out to a concert one night, so he was bottle-fed from 4 p.m. to 9 p.m. (expressed milk plus his usual bottle of formula). Since then, he has been more and more squirmish, until yesterday it was at every feed except the morning and bedtime. And instead of eating well every few hours, he would eat a bit, but every hour or so. Then today he was quite squirmish during his morning feed (he STTN 10-9). He took a nap this morning and then the battle started. For an hour and a half, I tried to get him to feed, and he literally refused the breast. He would start crying as soon as I tried to get him to latch. I finally had to give him a bottle of expressed milk, which he happily took. He breastfed later, but it was like very small feeds every half hour for 2 hours. His bedtime feed went well as usual.
So now there's all sorts of questions running through my mind...
1. The only other time he refused to latch was after his vaccinations, where he also got medication for thrush that had a stomach ache listed as a possible side effect. He seemed in pain that time, the only position that suited him was straight up. He wouldn't even take a bottle very well that time though. He just seemed very gassy because he kept burping all evening. So could he have been in pain today? But he gladly took a bottle and didn't seem very gassy...
2. Thrush....he's been on antibiotics for 2 weeks. It was a very, very mild case to begin with, he wasn't in pain and neither was I. Technically it should have gone by now, but I still notice some left, so I keep giving him the antibiotics. Is it possible this is bothering him when nursing but wouldn't with a bottle?
3. I started thinking that my let-down is too slow, and that when he's squirmish he's just getting impatient that the milk isn't coming fast enough. But how would I know? How could I get it to speed up?
4. For the last couple of weeks, I've been getting up early in the morning and pumping to build some expressed milk supply. I used to try pumping when he'd get his bottle of formula in the evening, but I would get very little out. The only time I get a decent amount out is in the morning or say after the concert when I was gone several hours. Could this be somehow affecting him (he doens't have enough left over)? Mind you, it wasn't until this morning that he was squirmish for his first feed, and I've been pumping before the feed for 2 weeks.
5. How could I get more out while pumping if I pumped in the day time and when is the best time to pump?
I really really don't want to stop breast feeding, but I'm worried these are signs that this is the beginning of the end
Please help, I cried my eyes out today when he was refusing to feed, it broke my heart!