Hi,
My son Haden is close to Jack’s age and also a silent refluxer. When he was 13 pounds his GI perscribed 15mg’s of Prevacid (Solutabs) a day. I would split this dose -7.5 in the AM and 7.5 in the PM. Looking back, this was not enough of a dose for Haden. During this time, he still had 3-4 screaming attacks during the day/night. It controlled alot of the reflux but he would still have attacks and frequent wakings during naps and at night.
You can read some more on the MARCI kid’s website about compounding. Are you having it flavored? Splitting into 2-3 doses?
Haden is now on Zegerid-20mg a day-split into 3 doses. We’ve had so much better results on this medication. Haden is a different child and has almost no pain!! Also, with Zegerid you don’t have to worry about timing the 30 minutes, etc. It’s WONDERFUL!!
I also give Haden Pepcid 1-2 times a day. Maybe you can add Zantac/Pepcid for before nap and bedtime???
Good luck!! Hopefully it will get better for you/Jack