He makes a noise of distress because HE'S STILL LEAKING, but then Dean is there and promising him that things are okay. They don't feel okay. He shouldn't be leaking, but having Dean's hands on his shoulders calms him down somewhat.

It's a familiar grip.

He stops pawing at the sheets and stares at Dean, like he's waiting to be told what to do, to be given some direction to run in.