My 11 week old EBF baby will only go 3 hours between feeds at night if we are lucky, during the day it is about 1.5 hours. He does have reflux so I give him half a gaviscon infant as we go to bed as he has a big feed hoping it will help him keep food down and stay asleep longer, however, gaviscon makes him very constipated so we are reluctant to give him more; we have been giving lactulose alongside but this does nothing and until his 8 week vaccinations he had a dirty nappy at least 4 times a day now he only goes every 2/3 days and I can only describe it as eye watering lava. My HV says that this is normal and him going several times a day was not the norm, however, I am not convinced.
DS has also become very fussy when feeding, breaking the latch often and just shouting at my boob, within a few seconds he is back on again and I have hand expressed to check my milk is still flowing with success. When he is fussing and also when he is fighting sleep (which he does A LOT) he pedals his legs and waves his arms around like he is running a marathon and this makes him more sick as he gets himself worked up but if we restrict his legs by holding him or swaddling him he screams the house down.
As of yet I have been struggling to start a bedtime routine as he absolutely hates baths in the evenings and gets himself so worked up that he throws up and has to be bathed again as he is covered in sick. I have tried some baby massage, particularly on his stomach (to help him poop) but he does not seem to like it and cries. He also cluster feeds in the evenings from 6pm until we go to bed at 10.30/11pm. When we go to bed he does not need much encouragement to go down, he feeds, burps and is straight down in the beside the bed cot and I try to only change his nappy when it feels very full but he often needs his sleep suit changing (usually twice a night) as his shoulders are often drenched from sick when he wakes. He does take a dummy and there have been a few times when he has taken it and gone down for an extra hour but this is seldom the case and I have also tried letting him cry it out and extending the periods before going to him to no avail.
Sorry for the extremely lengthy post but I am getting to the point of pulling my hair out and am in desperate need of some actual sleep so any advice would be greatly appreciated.