4 month old super fussy at breast

[Happyface82]

Please some advice. Baby M will be 4 months old on Saturday. I have been exclusively breastfeeding. Sometimes expressing. It's been 2 weeks now where she is super fussy when feeding. She keeps letting go and pulling back and crying. I thought silent reflux but then I noticed she starts happy and then fusses and is happy again if I switch sides which makes me think it's a flow issue? She also had Covid last week so maybe this doesn't help.

I'm not sure what to do. Can it be that my milk is suddenly not enough? She is also waking up once in the night. She has never woken up before. She has been such a good sleeper.

Any advice/ideas will be much appreciated. 🙏

Sounds like the 4 month sleep regression, it's a nightmare. I have successfully breastfed through two of them. Have you tried switching position, maybe lying down to feed? If it is the dreaded sleep regression it does pass.

Thank you for your reply! But she is also fussy during the day. It's the screaming I hate. I feel like I can't this right at the moment.

If she's had covid has she got a little blocked nose? I'm trying to remember breastfeeding and it was a long time ago
Or does she have some wind? Maybe worth trying some gripe water before a feed?
How's your flow when you express?
Does your clinic have a health visitor day you could pop along too? Xxx

Can you contact a lactation consultant? In my area, mothers can contact the hospital lactation consultant for up to 6 months.
A blocked nose can be very tough for them, especially if one nostril is restricted by the breast. We tried a 'snot sucker' but honestly the best fix for a blocked nose was salted water on a cotton bud, gently rotated in the nostril