Teething babies can opt out of feeds because of pain from the suction, definitely. You could try massaging his gums or using a teething gel - we used Orajel Naturals brand with my daughter because I had a paranoia about -caine anesthetics ... and Hyland's has belladonna in it, which I found troubling for my heart-defect baby.
A breastfed baby could also pull a nursing strike at around this age - they're starting to get more interested in the world at 4 and 5 months old, you know!
If the teething gel, or a frozen sock (really - soak a clean sock in water, wring it out a bit, then toss it in the freezer 'til it's frozen, give to baby and VOILA! teething toy for practically free; you can also use a knotted washcloth), don't help, try burping him more often during a feed. He might be swallowing more air.
How often are you offering feeds? You may be able to extend the time between if you offer bigger bottles.
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Liz
DD (3/2010)
"Make mistakes! Get messy!" - Miss Frizzle