Nipple discharge describes any fluid that may be squeezed out or be expelled on its own from the nipple area of your breast. This is not always a cause of concern; however, you should be aware of conditions that can result in water coming from your breast.
Nipple discharge may appear milky or clear, yellow, green, brown or bloody. The consistency of the discharge may be thick and sticky or thin and watery.
Causes of Nipple Discharge
You are more likely to have nipple discharge if you have had a previous pregnancy. The discharge is not usually caused by cancer; in fact the likelihood of breast cancer is rare. Therefore, it is important to identify the cause of the discharge and what to expect for treatment. Below are some reasons for nipple discharge:
A current pregnancy
You were recently breastfeeding
An injury to the breast area
Irritation to the nipple caused by rubbing of a bra or other clothing
A possible infection
Breast ducts that may be clogged or inflamed
Noncancerous pituitary tumor
Small growth noted in the breast (usually non-cancerous)
Lumpiness in the breast (Fibrocystic breast)
Use of herbs such as fennel and anise
The milk ducts have widened
Nipple discharge that is considered abnormal includes:
Discharge from only one nipple
Discharge that releases on its own without any stimulation
Nipple discharge that is considered likely to be normal includes:
Discharge noted from both nipples
Discharge that is noted after squeezing of the nipples
The variations in the color noted cannot determine if the condition is normal or abnormal.
The continuous expelling of discharge by purposeful stimulation can make the condition worse and should be avoided.
When to Notify Your Physician About Any Discharge or Water Coming Out of Your Breasts
If you are wondering, “what is the clear liquid that comes out of my breast” or any other color of discharge, you should have your health care provider do an examination.
What Happens Next?
After reporting that there is water coming out of your breasts or any other color discharge, your healthcare provider will do a thorough exam, listen to your symptoms and gain more information about your medical history. Some tests that may be done can include:
Thyroid and Prolactin blood tests
MRI or head CT to rule out a pituitary tumor
A breast ultrasound
A biopsy of the breast
A ductogram with the use of an x-ray to examine the milk ducts for patency
If Paget’s disease is a potential factor, a skin biopsy may be done
What If My Tests and Exam Were Normal?
In the case that no abnormalities were found, it is recommended that you should follow up with yearly mammograms and physical exams. This is necessary to recognize a new diagnosis or change in condition. In some cases the discharge or water coming out of your breast will resolve on its own with no treatment.
Treatment – What to Expect
When the cause of water coming from your breast or other secretions is revealed, treatment recommendations will be given. They may include the following:
If caused by a medication, the medication should be changed
Any identified lumps may need to be removed
Removal of the affected breast ducts
Treatment of skin changes surrounding the nipple with prescribed creams
Necessary medications to treat an underlying health condition