It is soooo terrible to watch isn't it! My dd got to that point also, straining to poo and crying after each attempt. She had poos as you described rather than the pellets usually described. Broke my heart.
Prunes worked for us eventually. We also used pears, however, at the time DD became constipated she was on a diet of almost entirely pears (due to possible allergies, we kept things pretty simple) and a little rice biscuit.
I soaked prunes in hot water and then gave her the liquid for a drink when it cooled and gave her a full prune to eat sitting up in her high chair (naked but for a nappy as it was quite messy) She had a ball eating the prune and I give her one regularly even now.
I also found a nice warm bath with me while breastfeeding helped her to have a bowl movement. Just gotta be quick when it happens!
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