Dear Marla, My daughter Lacie was born with CAH, she had the ambugius genitalia and salt-wasting form. She has been hospitalized several times. I was also afraid to let her cry, but my doctor told me that I needed to treat her like a normal baby. You don't need to give a stress dose if he crys. The only time you need to ever give a stress dose is during illness or if he has a fever 100+. I recommend talking to your endo he will tell you more about when to give a stress dose. Sincerely, TeraTera