my question is, if it is not bothering her or causing her any real pain or discomfort, do i need to worry about meds? she is gaining weight and is generally happy... it is more of a nuisance with constantly spewy clothes more than anything. just wondering if it is okay to just let things be as i have been doing?
If it's not bothering her, and she is gaining weight and is generally happy, I wouldn't stress. I went through this too, and beleive me, I know how much you can worry about it.

Looking back, the biggest hassle was changing her and washing all the clothes that she went through. I ended up having a bib on her 24/7, but she often wet that right through too.

You're doing a great job. Just make sure that you have a good stock of Napisan...

If it helps, they say that they should grow out of it by about 6 months, and my DD did almost right on 6 months. The sphincter/valve just needs time to mature.

If you are really worried, go back to your doc, or to your MCHN for advice, that's what they're there for.

Good luck.