It does not strike me as odd that an 18-month-old would have weaned himself 
off a lower-producing breast in favor of the better-producer, esp. since he 
is only nursing a few times a day.   That Slow One was probably really slow 
at that stage of the game, due to reduced stimulation.  Why go for drops 
when you can get flow?

I also doesn't strike me as odd that Mom can continue to express drops of 
golden, colostrum-like milk from the Slow One, even months after weaning.  
We have reprots from plenty of Moms that this happens.

I would be more concerned if Mom reported that the expressed drops look like 
"iced tea," or "old blood," or "coffee."  That could be an indicator of 
intraductal papilloma, or (rarely but scarily) even breast cancer, esp. when 
teamed with baby's rejection of the Slow One a few months ago.

I would gently ask Mom if she has noticed any other differences in her Slow 
Breast:  self-exam reveal any masses?  Any puckering on the skin?  Any 
unusual or fleeting pain?  If she answers yes, I'd refer her ASAP to her HCP 
for further evaluation.


Liz Brooks, JD, IBCLC
Wyndmoor, PA, USA

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