He is on Prevacid, 1.5ml (5mg/ml) twice daily. He started on ranitidine at two weeks old, but switched to Prevacid after we found it didn't work at about 5 weeks. His weight is good at 14 lbs 15oz. We have his crib raised to about 30 degrees, anymore and he slides down. It might be severe gas that is bothering at this time rather than reflux, but it is difficult to tell as he spits up so frequently even during the night. He is swaddled and bangs his feet against he crib as he tries to pass gas. When we unswaddle him, he passes gas like crazy but is awake as he is unswaddled. I usually unswaddle him briefly, reswaddle and then hold him upright. This works like a charm and he falls back asleep easily, but when I go to lay him back down he wakes up usually within a few minutes. This problem only occurs early into the morning hours after he has been laying for hours. Naps are fine. I assume that because he has been laying on his back in one position for so many hours that this is causing his discomfort. I am currently doing pick up/put down and have been for only 3 days, but it does NOT work at this hour, he only screams more intensely. Pick up/put down has otherwise started to work. I could attempt pick up/put down for a longer period of time at 4 am and am willing to commit to that; however, I am pretty in tune with his cries and the morning cry is one of discomfort (gas or reflux, I am not sure because he both arches and cringes). My main concern is that I am undoing the hard work of teaching him self soothing skills by holding him, but I also want to meet his needs.