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My LO had/had silent reflex. The raniditine helped a ton but didn't resolve our reflux issue and I know another mom who it made a huge difference for too.

I tried dairy-free and it didn't make a difference but avoiding caffeine seemed to help. I've noticed since I've started a Paleo diet I've seen a difference (but she's 8 months so it could be developmental).

It's up to you but the incline can help allot with reflux and if your doc recommended it then that means he feels the benefits outweigh the risks. But I'm not familiar at all with the other condition your LO has. ( Mine sleep on my arm as we bed shared.) But you can see if the meds and diet changes help first and then if not try the incline.

Last maybe check into chiropractic care and tongue/ lip ties. The ties could be affecting feeding which can cause the reflux. As for chiropractic I have a friend who swears a couple if visits resolved their LO reflux and a few that said it improved it. I never noticed a change but my chiropractic had us work on tension on my LO jaw (stretches and massages) that I noticed a huge difference in breastfeeding with.

Good luck!

I also had my kids sleep on my arm. They were fine with 1 cup of coffee, but no dairy (soy, gluten, eggs, and nuts). It sucked, but it was for such a short time. We are still off dairy and gluten, but he can now tolerate cheese, butter, and baked dairy (not yogurt).

What helped with the diet was to figure out what I could eat. I had a gluten free bagel from trader Joe's with earth balance butter every morning. I ate tons of fruit and veggies, rice, and grilled meat. It wasn't fun, but it made such a difference

Our DD who is 2 months has silent reflux as well and is on the raniditine twice a day 1 ml. First off, hugs to you because having a baby with reflux just plain sucks! I've had two now! We haven't been on the raniditine long enough to say if it's working or not as my pediatrician told us to give it a full two weeks to see a difference. I am no longer EBF and she is all FF fed now so I am no help in the diet department I have a lot of friends who said that changing their diet didn't always help with reflux as others have stated above. My pediatrician pointed out that it is usually a few months and that it may get worse before it gets better but it WILL pass as their digestive systems mature. I do think we are in the thick of it now and she spits up quite a bit but she is a happier baby now that we are doing the sitting up right 30-50 mins after feeds, inclining her Halo bassinet etc. Raniditine won't cure or solve reflux but might make them more comfortable during feeds as it blocks some of that acid from coming back up. Unfortunately, I feel like the only thing that will heal the reflux is time. My son had it pretty bad too and he grew out of by 4-5 months. He's 4 now and has no issues at all. Hugs!! It will get better.

@magnolia: I too have noticed that she spits up more on the raniditine! Per my pediatricians advice I am giving her a full two weeks again to see if it helps (we took her off of it when we saw more fussiness?) However, if shes not improving on it by her two month checkup on the 29th I am taking her back off of it. We put the dock-a-tot in the Halo (some might not feel comfortable doing this but we do after monitoring her in it for several weeks) and this creates a slight incline.

@magnolia: That's the other frustrating thing , they say it can take three weeks for stuff to work its way totally out of your system. In my experience though if it is something your baby is super sensitive to you should notice a difference much more immediately.

My son also had a tongue tie, that we didn't get diagnosed and fixed until around 11 weeks (ped we saw didn't believe in tongue ties, ugh). He wasn't eating and gaining well and it made a huge difference for that. They said it would help his reflux but I didn't notice an improvement in that. It was pretty painless though to correct.

Good luck