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What can we do to help him evacuate his stool? Do we need to change his preparation?

To help evacuate the baby's stools, you can try diluting the preparation a bit more with water. This will soften the stools and make it easier for the baby to pass them. You can also gently use a glycerin suppository around the anus to help trigger a natural reflex for bowel movement. These methods may be helpful in relieving constipation in babies.