*Update: Here are my thyroid numbers from local ob: T4 7.6, TSH 2.73, T3Free 3.1. They said these are normal, but I want to get you lovely ladies opinion. Thanks.
K turned 2 months old last Wednesday. She had her two month appointment on Tuesday. In general she looks great, but she isn't gaining enough weight. She was born 6 lbs., 6 oz. and has only gained about 2 lb; she weighs 8 lbs., 4 oz. Because she isn't gaining well and she's exclusively breastfed, I met with a lactation consultant yesterday. She said that K's high palate and slightly misaligned jaw and tongue might be causing some latch issues and discomfort that causes her to stop feeding prematurely. She also said that I should have her pediatrician check her for torticollis, which is a twisting of the neck due to overly tight muscles that causes the head to tilt to one side, since she always tilts her head to the left.
When the LC weighed her before and after feeding, she only took in about half the amount that she needs. I feel terrible that I didn't realize that there was a problem, but I didn't know that she wasn't gaining enough and she has plenty of wet and dirty diapers. The fact that she's not getting enough likely explains why she's so upset all the time. In some ways it's good that there is a problem because it can be fixed hopefully.
The LC recommended some exercises that might help release and realign her neck, tongue and jaw. She might also need to get some physical/occupational therapy or craniosacral therapy. She wants me to feed her even more on demand and change sides and positions more during feedings. Even though generally they say check other things first and don't assume hunger, right now the first thing I need to try is feeding her even when she just ate recently. She also recommended some foods to eat like oatmeal, flax seed, and eggs (there are more and I can post it later if anyone wants me to do so). I'm also taking an herb called Shatavari that is supposed to help with supply and getting my thyroid tested again (hasn't been done postpartum).
I'll post about how the Hawaii trip went in the next few days. She did well on the plane.