Erin,
I think going back to pills with pears is the right thing to do. McKenzie had the same problem as Landen did with Zegerid. Oddly she seems to be doing OK so far on the caracream, but we are only on day 4, but she is also older than Evan and maybe her digestion has matured some. She used to not be able to handle even Mylanta, and lately when I have used it she has been fine.
I hope tonight is better for you.