Help! Going off the breast?

My baby was 6 weeks prem but with no major problems, she just needed to learn how to suckle. She got this pretty quick and until now breastfeeding has been a breeze. She's a little refluxy but we have that under control with ranitidine.

But the last few days she's been a bit fussy on the breast. Pulling off after a few sucks and crying, then latching again etc. It was worse in the evenings but up until tonight she'd eventually just feed properly. But tonight every time she latched on she'd pull away and start absolutely screaming, even before she'd start sucking. This went on for about 30 mins until she wouldn't even latch anymore she was so hysterical. I'd settle her a bit then try her again but the moment I got her anywhere near the nipple she'd start the hysterics again. I resorted to the bottle which she took straight away then after she'd had about 50ml I put her on the breast - no problems at all.

Any ideas what's going on? I love breast feeding and it will be a real blow to me if she's going off it.

No it's both sides. I have a great let down so the milk is flowing well. I thought it might have been a fast let down issue but noticed that she was getting distressed before even sucking. I tried different positions but they were all the same. It seems to get worse as the day goes on. It was just weird that once she'd had a bit by bottle she was perfectly happy to go onto the breast but I can keep that going for a few days if that's the only way to get her to BF. Maybe she'll just settle down again.

Thanks for the ideas though. I'll see how she goes the next couple of days then try LLL if there's still a problem.

Hmmm, first 2 feeds today have been absolutely fine. I did wonder on the weekend if it was because she needed a poo (she's a once/week gal) but she had a huge one yesterday morning so it shouldn't have affected her into the evening. Oh well, hopefully she's just over what ever it was.

That's interesting about the ear ache. I'll need to keep an eye out for that. I don't think it was that this time though because I did try to feed her completely upright but it didn't seem to help. I wonder if it was her reflux playing up although it's never affected her during a feed before.