Ds had silent reflux, he started on Zantac at 4 weeks, until 11 months when he was on the maximum dose, so he went onto losec until 15 months. On the medication his symptoms were manageable, mostly coughing. When he needed an increase in dosage he would scream a lot and couldn't sleep. Dd2 also had reflux but wasn't medicated, it was hard to see her so uncomfortable but she outgrew it at 4 months.