My DD had silent reflux and it was very hard, one of the worst things I've gone through. She was born on 75th centile, when she got down to under 9 th centile, which was at about 4 months, she was prescribed omeprazole, which helped, though not completely. Before the omeprazole she was generally too hungry to sleep for long, I ended up feeding her nearly every hour, I was a wreck and she was so miserable, it was awful. From 4 months I could settle her for a couple of hours after a small feed so it was better, but she was still very uncomfortable and just a tiny wriggly wailing baby. Things got better when I weaned her quite quickly, but though I tried to wean from 15 weeks, it didn't work as she got very constipated on tiny amounts of puréed fruit, so I had to give up. At about 6 1/2 months I tried to wean again and it worked, she was now able to digest the food properly, and she just went for all the food she could get, refused milk completely, and was on solids only by about 8 months. This caused constipation again as I couldn't get her to drink enough. In the end I gave her fruit smoothies in desperation, and they worked, she drank them and they helped with the constipation. I felt so sorry for her, it's not a pleasant way to spend your first year having silent reflux, but once weaned she got much happier, cried less and less and by 1 year, was basically fine, though I continued to have problems with constipation for another year or so. She's 8 now and loves food. She started drinking milk again at around the time she started school. She does still get refluxy days , and if she's ill is likely to get reflux too, but she is a happy busy girl now. Good luck, reflux does get better but it's no fun for anyone concerned until it does. Keep nagging the doctor and HV, you can get help from them, though it is not easy. The day I got the omeprazole prescription DD had spent half an hour full on screaming in pain in the waiting room and then in the doctors room while I tried and failed to feed her. I reckon this is why the doctor prescribed it. We had used gaviscon to little effect before that.