Constipation/hard stool

Need help, my 1 year old has been switched to lactose free whole milk for about a month now . Since then he’s been passing really hard stool and cries/struggles every time. We have been trying everything to make it easier for him to go.

I have tried :
Prune juice
MiraLAX
Glycerin suppositories
Mommy’s bliss constipation ease
Tummy massage
Bicycles
Water
Warm juice

We’ve been to the hospital and doctor. They are all suggesting the same things that I’ve already tried . I just want my baby to be comfortable and no longer in pain , straining . Any recommendations??

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