Hey there, I am sorry to hear that you are having a difficult time of it. The thing with reflux is that there are so many severities and also a totally different range of meds that a bubs will do well on.

I have a lot of expiereince with this and I would say that you are doing the right thing by getting a second opinion, 5mg is a low dose of losec and at 4 months you would expect probably 10mg a day, split twice. So 5mg am and pm.

With non controlled reflux what tends to happen is you get side effects to the reflux that you wouldn't be aware of like food reflusal, lack of weight gain or failure to thrive, ear infections, chest infections, rattly chest, congestion... a big list. Anyway it is important if it isn't controlled to keep pushing until you get it right, Parker is on a really high dose of losec and has been since 16months, which is 30mg a day, but for him it is what he needs.

With the paed, just make it clear that this is not working for you guys and something needs to be done. With the losec form, if he takes it from a spoon when it is dissolved (making sure he gets all the beads and they aren't crushed) I personally would stick to that. We get the compound and not only is it expensive, costs me about $80 a month, to get it working really well you need to get the scrip refilled every 2 weeks, which also causes a lot of grief when people don't know this and everyone tells you it lasts 4 weeks.

We are still on the compound and he can not have the losec brand it makes him hypo, but the acimax is fine.

Good luck and if you have any questions, please ask. You can also search the internet on infantrefluxdisease and have a look around there and see if there are things you can do to help, I have written a lot of the articles for this site.

Good luck!