where we were a year ago

Dominic is 19 months. Last Nov. I d/c’d the ped GI, as he was insisting that we do an upper GI, and I wanted to wait it out a bit longer. I weaned him off Zegerid, as it didn’t seem to make much of a difference. DS’s symptoms have always mainly been a problem at night, and he has never seemed to be in much pain beyond waking up multiple times per night smelling sour, so I decided to just tough it out for a while. Well, a while has turned into nearly a year! We have given him Pepcid Complete at night, which, when he isn’t teething, allows us some semi-decent nights (for us, waking twice is a good night). During teething, an occasional Mylanta night is not uncommon.

The last two weeks have been horrible again. We had a short reprieve after his most recent molar errupted, where he was waking only 1-2 times, and going back down pretty easily after bf’ing. Then he suddenly decided to give up the bottle (my one salvation was that dh could give a bottle on the nights where I was done in). He also started refusing to be comforted by dh, and *screaming* his little head off if dh responds to his wakings instead of me. Now he is waking up 3-4 times per night, and often only 20 minutes after being put back down (reminiscent of his worst reflux days of infancy). The Pepcid and Mylanta don’t seem to be cutting it (nor the Motrin, as I see the other gum bulging finally for his last 1-yr molar).

So I’m miserable. Not only am I not sleeping (I’m a very light sleeper, and it takes me forever to get back to sleep after being woken), but I’m working half-time, and the rest of the time this kid is kicking my bum. He is so super active, climbing on every piece of furniture and *jumping* off! He refuses most food, throwing it as far as he can and then nearly tipping his highchair over so I will get him out. DH’s patience is gone, and he has always been the rock of sanity in this place. And did I mention poor DD? What a sweetheart but she is surely feeling neglected in some ways.

Finally my questions: should I put him back on the Zegerid for a while? I still have some left over packets (a full box). Should we head back to the ped GI with our heads hanging? Should I night-wean the little booger and close the all-night booby buffet? Any advice will be appreciated, but be sure to use small words and speak slowly as I am very sleep deprived!