Hi

As he is tolerating a rather big amount in a short amount of time from a 
bottle my brain doesn't go to reflux.

None of my ideas make sense out of the fact that he is spitting up when 
directly feeding from the breast, unless she is holding him very 
differently with bottle feeding, therefore it is possible a restriction 
clicks in, in a certain position, making him throw up. I would start 
with body work (my favourite is Cranial Osteopathy, but it needs to be 
someone good) and see what difference this makes and afterwards assess 
for a tie too.

If she tried a shield and the baby shredded the nipple - it is more then 
likely that the shield was far to big.

Petra Hoehfurtner

IBCLC
LLL
Stillbirth Doula
Gestalt Counsellor

On 23/01/2016 05:01, LACTNET automatic digest system wrote:
> Date:    Fri, 22 Jan 2016 17:38:20 -0500
> From:    Isabella Mendoza <[log in to unmask]>
> Subject: vomiting after direct feeds but not EBM in bottle
>
> Been a long time since I posted: stumped on this one.
> 3 month old boy,  mediocre weight gain (not terrible though), has been spitting up since early on.  He began vomiting breastfed breastmilk at about a month   Mother is now only bottlefeeding EBM, which the baby tolerates beautifully, he takes 3oz in 10 minutes or less.  She is really tired of pumping.  When I suggested a (choke) nipple shield, she said she had already tried it and that it "tore up" her nipples.
>
> Any thoughts?
> Isabella
>
>               

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