My daughter is 13 days old and is eating all the time! She is cluster feeding for the most part. I am noticing that she is spitting up more and more. How do you know the difference between over eating and reflux? She doesn't projectile vomit but, she does spit up quite a bit. She also seems to choke sometimes when feeding and I have to sit her right up.
Re: Feeding
a lot of babies have some form of mild reflux. If your LO is choking, there could be a number of things. Reflux, having some issues swallowing, too fast of a bottle nipple....
i agree with PP with the burp. Try and get a good burp out of her; she could be refluxing due to gas in her tummy. When my LO chugs a bottle and won't burp, she'll spit up, which she NEVER does (she's a silent refluxer)
The choking while eating sounds like oversupply to me. I had it with all 3 of my LOs. Eventually your body regulates and it stops. In the mean time, try keeping LO's head higher than her belly when she feeds. If necessary, pull her off and catch the letdown in a rag (or use a nursing pad and some compression, which is what I do). The spitting up is a side-effect of oversupply as well, especially if she's not burping well.
With my LOs, they're gulping so fast to keep up with the forceful letdown/oversupply that they swallow more air than normal, so they desperately need to be burped well and will still spit-up frequently. They also have gas issues, despite all the things i do to help. It's just something to get through. Usually by 3 months or so, things regulate. It also helps that their digestive tracts mature enough to help. Letdown for me is so forceful that it arcs out in a stream from some ducts about 4-5 inches during the strongest part (have had a few experiences in the shower when just washing triggers letdown, fun times)
I BF my 9 week old sitting up. There are 2 ways. One, sit on couch and have her sit beside you facing the couch back, use your arm on that side to hug her close and slightly leaning towards you to reach your breast. Hope that makes some sense.
The other way is to sit anywhere and have her sit on one leg facing you. Put her so one of her legs is on each side of your thigh, she'll almost be standing since legs are so tiny. Then holding her upright lean her towards your breast on the same side of the leg she is sitting on. Again, I hope that makes sense!