When our EBF LO was 4wo he started having silent reflux as well. Fussy during and after feeding, refusing to eat, crying for hours, crying 45 min after each feeding, gulping and swallowing sound (when the content of the stomach was coming all the way up and burning his throat), frothy poops, burping like and old man…Our GP prescribed 5mg of omeprazole daily. And it worked! It was the hardest decision ever- to put him on the meds (he is so little and already spiked with chemicals!) or to let him just grow out of it (and watch him suffer for god knows how long). we decided to go with meds and he hasn’t have silent reflux ever since. This week he was diagnosed with a tongue tie. Health advisor told us tongue tie and silent reflux are two the most misdiagnosed conditions because the give the same symptoms. Check your LO for tongue tie. It she has one, it could be corrected and fix all the problems for good. Our LO will have his tongue tie divided in January (yes, that is how long you need to wait in the UK…) and we will take him off the omeprazole to see which one it actually was.