I'm starting to wonder if something deeper is going on...
BACKGROUND (this is long, sorry):
LO is 4 months old. Initially, at birth, had a FANTASTIC latch, but was very painful. We started using a shield at 4 days old and he was diagnosed by an IBCLC to have an ULT and TT. They were clipped at 17 days old. Took us until 6 weeks old to wean off the shield. Ever since weaning off the shield, his latch has been so-so. He has a good latch when he wants to, but unlatches FREQUENTLY. But was still, for the most part, nursing great and gaining weight fast. At 2 months old, he went through a 6-day nursing strike. No illness, no teeth (though he has an amber teething necklace and I've tried Tylenol and teething tablets) nothing changed except that he received his 2-month vaccines (well, the dtap and rotaviris) 3 days prior (he never acted like it bothered him--no increased fussiness, fever, etc). I tried EVERYTHING and nothing worked. He went from a baby that would nurse 45+ minutes to 5, if I was lucky. And in a 5 minute feed, he may unlatch 20+ times (no joke). His diaper count dropped and the ONLY way he would nurse was asleep AND laying down in bed. He has been that way ever since. At 3 months, he had his ULT and TT lasered (by a different doc, one of your preferred), but that made no noticable difference. I did all the stretches religiously and even tried suck training. I did have a pretty impressive oversupply and OAL, but the OS is much better and the OAL is pretty much gone. We only ever nurse reclined or side lying anyway. He's baffled every IBCLC and LLLL we've talked to a visited (which is several). All have made suggestions of things I've already tried and nothing works.
I've started back to work recently and am gone 14+ hours. Last night, I was gone 15 hours and he didn't take one single drop of milk while I was gone. He won't take a syringe, cup, spoon, or even finger. I wouldn't be so concerned about that if he made up for it when I came home, but he doesn't. This morning when I came home, he nursed once, and that was really only comfort nursing while he took a nap. I offer frequently, but he just doesn't seem to want it. He's getting about 4-5 wets a day, but all of them but one are barely wet (sometimes they don't meet the 4tbl "feel" test) and he hasn't pooped in 12 days.
He's a generally happy baby and meeting milestones, but for some reason, my "mommy" radar is going off. He's not a baby that can just be put to breast. I can't just nurrse right before I go to work because he won't do it. He will not nurse to sleep, so it's quite the process to get him to fall asleep, go lay down, and try to feed then. It's physically and emotionally exhausting. He's a very restless sleeper at night, waking evry 45 minutes- 1 hour and this has been going on for 1.5 months. He's not much of a spitter, but does randomly choke and gag while not on the breast.
2 weeks 8lbs6oz
1 month 9lbs6oz
2 months 13lbs6oz (yes, that's right)
3 months 15lbs11oz
4 months 17lbs3oz
All on the same scale except for BW and lowest weight. Obviously, weight gain is fantastic and I realize that. I just can't shake this feeling that I'm missing something. Hopefully, I'm just that over-paranoid first time mom.