My 3.5mo little girl has been screaming nearly every night, sometimes could be a 10-30 mins, sometimes could be 4-5 hours. I put it down to reflux and under the chemists advice have been giving her gaviscon infant which does relieve her a little. The last few days I've been expressing, which is almost a waste of time as I've never been able to get a lot, partly due to time restraints, partly just me. I've been getting about 80-100mls throughout the day. I have been giving her this expressed milk at bed time which did seem to be helping as a top up.

Last night her screaming got the better of me and I rang the after hours GP service who directed me straight to our local emergency department. The triage nurse directed me back to after hours GP at the hospital and organised an immediate appointment. I was very lucky as the nurse I saw up there was a baby health nurse and we had a great appointment before the wonderful doctor came in and checked M over just to make sure that there was no other problems.

The nurse weighed M, and found that she has slipped from the 50th percentile to just over the 10th I had her weighed about 3-4 weeks ago and from that time til last night her gain was 2gms. The nurse suggested comp feeding, with a bottle late afternoon and then another one before bed using them as top us feeds after offering her a b/feed. I am devastated as I didn't really consider my bub would be starving and this would be causing her to cry each night. I know she still has reflux but it might not be the main cause of her screaming. The nurse suggested that she was happy during the day as she was getting a decent feed in the morning due to my body being rested. I work 9.5hr days (family day care from home - so can feed on demand, but I don't actually get a rest during the day, between the other children, M and paper work) without counting my other children and household commitments.

While I am happy to give her the comp feeds, as her health is so important, I would love to be able to build my milk back up to be able to cut the comp feeds out. Suggestions on this will be appreciated.