Breast feeding - Over supply / fast let down

[LDH17]

Has anyone dealt with an over supply and/or fast let down when breast feeding?
I'm not 100% sure if I have both of these. Ds2 is nearly 6 weeks.
He's feeding well but often when he first goes on he seems to be gulping quickly and then coming off the breast coughing and spluttering with milk coming out his mouth. He's then on and off a bit before settling into feeding.
He is sick a lot after feeds, although is putting on weight really well so still obviously getting plenty.
He is quite gassy and can be quite unsettled/fussy a lot of the time.
I originally thought he might have a bit of reflux and colic, but after reading up on it I think it may be that I have a fast let down which is causing the gassiness/fussing and sickness.

Any tips on how you dealt with this, did it die down on its own?

FYI we have been giving him colief drops and I have cut down on dairy as I though this may a possible cause to him being sick/unsettled, he's seems a bit better but don't know if it's because of either of those??

I do sometimes but it's not at letdown that my little one comes off really, she tends to gulp down what she can and then come off when the flow slows down. I fed her earlier with us both lying on our sides and that seems to have gone better but it's not practical for me to do everytime. Most feeds have ended in screaming today and I just don't feel like she's taken much (but given that she's just over 3 weeks maybe she's settled down from the 3 week growth spurt?). This has all come on quite suddenly.

How have you got on today OP?

No he hasn't been checked specifically for tongue tie, but I don't think that's it as he's feeding really well once on. Saw a feeding consultant at the hospital when he was 2 weeks and she didn't see anything that she mentioned.
Same as pp, have only sprayed a couple of times as he tends to gulp a load, then come off upset as swallowed some air but after the main spray had died down a bit. We get more soaked from it all spilling out his mouth. And then him being sick after.

Pp not too bad today, the hv came and he's putting on weight really well and all measurements spot on, she said he looks really well and she's very happy with him. So that makes me feel a lot better that I know he's getting what he needs despite being sick a lot and the fast flow problems.
She said it will normally settle down on its own with time as he learns to handle it, and others have said.

I think I'm just going to see how it goes and if it settles down. I mentioned block feeding to the hv and she didn't seem to have heard of it!! she said there's not much you can do to stop it?!

I had fast let down and plenty of milk- pulling off sputtering, spraying, gulping down air then HUGE spewing

Infacol helped with the burping a bit

And he grew out of it/ supply settled

But I'm only just getting to be able to feed side lying now- seems DS and I just don't line up. I certainly can't fall asleep doing it

I had the same with both my DC, especially DC2. Loads of milk and it sprayed out. DC2 ate so much he'd be sick. HV wasn't concerned as he was gaining weight. I'm still feeding him now and he's 16mo and a brute so it did him no harm. It just takes a while for your body to work out supply and demand. There will also be days when you don't think you have enough as your baby will have a growth spurt and want more more more!

Ah, those good old days of baby popping off the breast and milk flying in 6 different directions.

arbrighton All three of mine vomited what seemed like entire feeds if I didn't sit them up very slowly after feeding and give them ages of back rubbing before settling back to bed.

LDH17 I'm glad it has been a bit better. If you want to try block feeding I definitely recommend reading Dr Jack Newman's advice about it. He's a breastfeeding specialist who runs clinics in Canada (I think) and his advice was so helpful for me. I EBFed DD1 for two months and then ended up combi feeding because she would get so distressed after feeding. She gave up breastfeeding at 5 months. Before DD2 was born I spent ages reading KellyMom and Dr Jack to work out what went wrong. DD2 fed till I got pregnant with DD3 (at 14 months), and DD3 fed till 16 months. So it got better with time.

LDH Good to hear you've had a better day, we've done better too. I tried pumping 10/20 ml off each side before feeding a few times and that seems to have helped a lot. It literally took a few seconds to pump that amount. Strangely LO has been more chilled out on the feeds where I haven't been able to pump too.

Nousername2015 glad to hear you had a better day too. Yes I have been pumping about the same at the start of the feeds too which seems to help also. He has been a little less sick too which is good. Still sick after every feed but not always as much, sometimes only a tiny bit.

Good to hear most people saying it gets better with time. As has been said I guess it's just supply regulating/ baby getting used to it! As with all things breast feeding there always seems to be challenges to overcome.

Glad things are going better OP. I had exactly this with DD. She'd suck a bit to get things going and then pull her head away once the flow started, and if I wasn't careful a jet of milk would shoot across the room. She was also very sicky.

I would only do one boob with each feed, rather than doing both for each feed. It did help regulate things a bit. I didn't have to worry about remembering which boob as one would be rock hard when it was feeding time!

Hope things settle down.