We thickened feedings with rice cereal–it was about 1 T per ounce, so a lot more than what you’re using. At the same time, Dagney was still having a lot of reflux issues, so we were using a lot of Mylanta too, which helped any constipation issues, although I wouldn’t suggest using Mylanta just to help with constipation. Looking back, though, I don’t think I’d thicken the feeds if I could do it all over again, she still threw up with the best of them for a long time, until finally one day it just stopped. Maybe the thickened feeds helped keep more calories in her, though, so she didn’t lose weight, that’s a possibility, but she was always up in the 90% range, so I don’t think that was really an issue either.
Many people on the board have used oatmeal, though, because it won’t constipate, and from what I remember, you don’t need to put as much in to get the thickening effect. I have heard you do need to dissolve it very well, or it will clog up the nipples. Hopefully it does work for you, and helps your lo stop spitting up so much. I would hold off on the prune juice until you see what effect the oatmeal has, you want to keep it as simple as possible from my experience. If it looks like he’s getting backed up again, you can aways give him some prune juice then. Good luck and I hope it works for you!