with sorbitol-containing juices such as prune, pear, white grape, or apple juice can be helpful to soften the stool and improve stool passage If dietary measures are insufficient, lactulose or polyethylene glycol (PEG) 3350 (MiraLAX, GlycoLax) may be useful as osmotic agents The occasional glycerin suppository may also be helpful but should not be used routinely Historically, Karo corn syrup was used, but is no longer recommended due to concerns that the syrup may contain spores of Clostridium botulinum Stool lubricants such as mineral oil should not be used in children