to Jan Barger- If elimination of caffeine and chocolate had not worked for this mother and baby, I would have worked him up for G.E. Reflux- even in the absence of spitting up or emesis. Screaming and refusing additional feeds, in the presence of good supply, and when the feed is only a third or half way complete, is a symptom of reflux ( per Marjorie Myer Palmer, Speech Therapist, author of NOMAS scale, and the general GE medical community). I'm glad eliminating coffee and chocolate did the trick. Sorry about the typo- Anne, thanks for the laughs about the english muffin- I prefer honey wheat myself. Debbie Rabin, OTR, CLC LA, CA