In the meantime the official medical stuff I read basically implied that silent reflux didn't exist and was an excuse for irritable babies so that made me doubt myself even further.
Well we have a lot of doctors in disguise! Now I see why you got on so good with the research straight up!

Pana, I am wondering do you ever think back that maybe a child had reflux but you just hadn't had the training to spot it? I can spot a refluxer in line at Ikea now (true story) I can differentiate the cries. And this will only make you a better doctor. LIke you say, you tell the mums to trust their instinct.

Silent reflux does exist, even the paed Gastro we see didn't think that it was silent reflux in the beginning, we had an endoscopy and that had no inflammation and while we were waiting for the pH probe results, reflux was pretty much dismissed (even thought the upper GI was showing moderate to severe reflux) but we got the probe results back and his score was 32, normal is anything under 12, he refluxed (and the day he had it in was a good day) 180 times.

srv and pana this will make you better doctors. Not everything that we have to do is textbook and things can get a lot worse. Though I hope not.

With regard to the CHN, get a new one. They can be a great source of understanding and support, but if you get the wrong one, can bring great anguish and pain. I go to Maida Vale and I would highly recommend her.

Also, Thanks Christy!