I have an application that receives relatively sparse traffic over TCP with no application-level responses. I believe the TCP stack is sending delayed ACKs (based on glanci
You could setsockopt(sockfd, IPPROTO_TCP, TCP_QUICKACK, (int[]){1}, sizeof(int)) after every recv you perform. It appears that TCP_QUICKACK is only reset when there is data being sent or received; if you're not sending any data, then it will only get reset when you receive data, in which case you can simply set it again.
You can check this in the 14th field of /proc/net/tcp; if it is not 1, ACKs should be sent immediately... if I'm reading the TCP code correctly. (I'm not an expert at this either.)