My 2 daughters (now ages 6 and 9) have acid reflux. My oldest daughter was a paci kid - HAD to have her paci. Her pediatric gastro doctor told me that acid reflux kids benefit greatly from their pacifiers. The constant sucking washes saliva down their throat and soothes the burning. They recommend these kids do have pacifiers!!!! So LET HIM have his pacifier - deal later with quitting it, when he is not in pain. (My daughter didn't quit hers until she was 5, I'm sorry to say, she still needed it at night only - not during the day - finally quit when I told her that she was old enough to chew gum when she longer needed the pacifier). And tell the biddy old ladies in the grocery store who make rude comments to mind their own business !!! (I used to say "She had a medical condition and needs it, but I don't recall asking your input." They're all so high and mighty about pacifiers!) I bet you are too busy now to research any of this - I found out all kinds of things once my life got back on track and my daughter was about 3 - things I wish I had known when she was a newborn. But let me recommend that you do whatever it takes to not let him cry - acid reflux babies can't be let to "cry it out". When they cry, it makes the acid reflux worse, they cry more, acid reflux gets even worse, etc., etc. - vicious cycle that is hard to break. Don't worry - you will not spoil him by doing all you can to avoid crying fits - my daughter is not at all a spoiled child - in fact, is quite the opposite - but her young life we built around not having her cry - always home at naptime (and we had to hold her 3 hours when she napped - it was the only way - our motto was "I can hold her 3 hours while she sleeps, or I can hold her 3 hours while she cries"), never making her overtired. (I'm not saying give them candy or anything they want - but don't create situations where they will get tired and cry). Also, just so you know, when they are little, the dosage of the meds has to constantly be adjusted. They grow so fast, the dosage is always being outgrown. And since these meds take 7-10 days to get into their system, it can be a LONG time waiting for the new dosage to kick in. So you'll be tuned into him - when you notice him getting a lot fussier for a few days - bring it to the attention of your doctor that you might need the dosage adjusted - trust your instincts. Also, don't worry about the breastfeeding - for my oldest, I switched to soy - made a huge difference (and as I found out when she was about a year old, she had a mild allergy to milk). My youngest, who also has reflux, was fine with the breastfeeding - so you have to judge it kid by kid. I'm pretty sure my oldes had colic as well as reflux. The colic was aggravated by the breastfeeding. God Bless you - enjoy him - and know you do have a harder challenge than most but you can do it!