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This question was answered on Tue 12, Aug 2008 11:45am by Dr Bhupinder K, MD

breast liquid from my nipples is black in one and white in other plus almost like small dried milk easy to sqweeze from nipples



    
Asked by Unregistered (Female; 25; 9922; none; Relevant drugs:none ) on Tue 12, Aug 2008 10:08am

I have an 18 month old son, i stopped brest feeding when he was 5 moths old. ever since i have had almost list hard liquid which i can sqweeze from my actuall nipple i didnt think anything of it but recently (2months) i have had what looks like early milk come from one and black fluid from the other. I doubt i am pregnant as i have been on teh injection can you help.

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Answer by Dr Bhupinder K, MD (doctor) on Tue 12, Aug 2008 11:45am:

Hello, The first possibility that is coming to my mind is mammary duct ectasia.It causes one or more of the ducts beneath your nipple to become inflamed and clogged with a thick, sticky substance that's green or black. You can feel relieved by applying warm compresses to your breast. Taking aspirin or nonsteroidal anti-inflammatory drugs, such as ibuprofen, may help relieve some symptoms. If there is any sign of infection like tenderness, redness or warmth over the breast or any associated fever, then antibiotics have to be prescribed. In very severe cases, surgery of the duct may be required. However, this diagnosis depends upon whether the discharge is coming from one duct or more than one duct. When you express discharge from the nipple, you can see if it comes from just one point (duct) on the nipple or whether there are multiple droplets from several ducts or more. If the black discharge is from one duct then it can be due to mammary duct ectasia or breast cancer.Mammogram or ductogram may be required to confirm the diagnosis. As from the second breast, you are having milky discharge; it can be due to galactorrhea. Galactorrhea occurs because your body is making too much prolactin.It can occur in a hormonal imbalance, such as from taking birth control pills, hypothyroidism, chronic breast stimulation, such as from frequent breast self-exams or sexual activity and rarely in hypothalamic disorders. Confirmed by examination of the breast discharge under the microscope and by serum TSH levels. In both these conditions, complete clinical evaluation is required. So in my opinion, it is advisable to consult your gynecologist and then start with a definite treatment. If you have doubts regarding your pregnancy, then pls get a home urine for pregnancy test done. For that OTC pregnancy kits are available. Take care and regards.

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