My daughter is now 13 months old since she was

Patient : My daughter is now 13 months old since she was 6 months old she has been constipated rock hard poop she has ripped herself more times than I can count forcing out her poop I was told to try prune juice but that didn't help I tried feeding her strictly foods that would help her go that didn't help her pediatrician said it was safe to give her miralax she is up to 1/2 capful twice a day and still has occasional issues but still refuses to eat she will take max of 5 bites and that's it will only drink her milk what could be causing this!?
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