I believe that this mother has had some significant breast/nipple changes that warrant a look by a breast specialist and possibly a biopsy. I disagree that she has no symptoms of mastitis, in that the breast changes and stringy milk would be  symptoms (or  signs). I do agree with one sided bf at this time, and I would not be opposed to gently expressing, provided that she is seen by a specialist and followed up.Laurie Wheeler, IBCLC, MN, RN Mississippi, s.e. USA 
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