Small holes with larvae in birch limb = bronze birch borer. Digging them out is correct. Sap weeping is normal spring pressure—will subside. Don't tourniquet.
Spray wound with imidacloprid (Merit) to kill residual larvae and deter new attacks. Fertilize with 10-10-10 at 1 lb/inch trunk diameter. Healthy birches resist borers better.
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Dealing with Borers in Plum Trees: Identification and Treatment
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White Birch Decline After Spring Pruning: Sap Flow and Bacterial Wetwood
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