Orange Fluid Leaking from Breast Implant?

The symptoms you described are indeed unusual 5 years after a breast augmentation.  You didn't say, but I am going to assume, the leakage from your breast is coming from your nipple.  If so, it may be from your breast tissue and not necessarily from the pocket around your implant.  An inflammation of your breast is known as mastitis.  This fluid should be cultured and you possibly need treatment for an infection or a sub-clinical infection from your breast mastitis.  Also, the twinges you refer to, I am assuming, are twinges of pain.  This, unfortunately, is a common symptom in Baker III or IV capsular contractures.  The twinges of pain may be due to nerve endings trapped by the scar tissue around your implant. 

I hope the doctors you mentioned in your note are Board Certified plastic surgeons.  If not, please go back to your original plastic surgeon, or if he or she is not available, please seek out an experienced Board Certified plastic surgeon in your area to deal with your possible mastitis and your capsular contracture. 

Dear Angela 64,
Drainage from a breast 5 years after augmentation is unusual. Certainly, one should suspect the implant as the culprit but you still have breast tissue that is still susceptible to disease. The drainage needs to be analyzed and you need a thorough exam by a board certified plastic Sugeon preferably by the surgeon who performed your augmentation. I hope this is helpful.
Dr. ES

These are all very unusual symptoms and could be reflective of  a serious underlying problem that requires treatment. Please schedule a consultation and physical examination with a board certified plastic surgeon.