I agree that babies with reflux sometimes self-limit their feedings, but 
I've never seen one scream at the first drop of milk. In my practice, 
the babies with the most severe reflux (who needed to be hospitalized 
and tube fed) would take about one ounce and then stop eating, and 
nothing you would do would entice them back on the breast for several hours.

This baby has severe allergies, perhaps she is allergic to something 
else that mom is eating. And perhaps she has a swallowing problem, and 
is having milk go down the wrong pipe. An occupational therapist is the 
one to consult on swallowing issues (at least in the US, I hope it's the 
same in Israel). Sometimes a tongue tie (even a very posterior, 
submucosal one that is not apparent unless you lift the tongue) causes 
an inability to groove the tongue and difficulty handling milk flow 
properly.

Meanwhile, as much calm, cuddly skin to skin as possible, and some 
distraction by toys during feeding sometimes helps these babies. And 
especially keeping mom's hand OFF the baby's head, so she can let go 
whenever she wants, may help her feel safer.

Poor baby, and poor Jessica, having to try to help her. These are very 
frustrating situations. I often wish mom had called me when baby was 
just fussy at the breast, not when they are 3 months old and completely 
refusing to eat.
Catherine Watson Genna, IBCLC  NYC

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