Hello. there are a few wonderful women here with lots of experience in this are so hopefully they will respond soon. I just couldn't not write something. Hang in there, you are doing more amazingly than you probably feel right now. My second baby had tongue and upper lip tie. We had it revised (laser) at around 3 months old (she is 7 months now). Before the revision we were on a slippery slope, many many BF issues including my supply which went from abundant bordering on oversupply to undersupply. Motilium helped enourmously and I noticed a small improvement in days, my GP started me on a high dose.

That said, motilium won't do much if you haven't addressed bubba's attachment and feeding as if he is not extracting milk properly your body cannot build up supply properly. So it is likely not a matter of your body or baby's but the two are interdependent. Tongue tie can cause poor attachment and ineffective milk extraction which in turn really messes with supply.

Pumping a couple of times a day between feeds may be helpful in assisting the motilium, especially if you are having trouble getting baby to stay on the breast (as I did with DD2- we had screaming and at times refusal) but again the only real improvement would lie in addressing the core causes of the low supply...

Have you seen a lactation consultant? That would be an ideal first step. Who diagnosed the tie and what was suggested in relation to this? Have you been working on attachment? Getting baby to breastfeed direct from you as often as possible is hands down the best way to boost supply but if it is not always as easy as that!

ETA- 20 and 50ml pumping output is not bad at all.
Thank you for answering, it's nice to hear that I'm not alone in this
His attachment is good now, i'm putting him on the breast first thing before I give him the bottle.
How much Motilium did the doctor tell you to take at first? how is feeding for you now?

My son has colic and gas, when I breastfeed him he wiggles and turns a lot, I need to hold him and make sure that he won't detach himself. it also might be due to low flow.
I want to fix this issues as fast as possible, I heard children tend to prefer the bottle over the breast! this is one of my fears.

My lactation consultant said that I'm doing all that I can but I'm still wondering if I can do better, that's why I'm considering to increase the dosage.