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Milk of the Poppy is pretty much exactly what it says: it is a white liquid which is extracted from poppy flowers by cutting into the un-ripe pods before they blossom:Source: KGM007 [Public domain], via Wikimedia Commons
Note that this is not a Game of Thrones invention. This is a real-life flower which is/was used in the exact same way in real-life as it ...
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It is a drink made from the poppy flowers, and it is basically a drug. In real life, you can make opium from poppies, so I assume, that in the show the same properties of poppy create the painkilling effect as well as an anesthetic in higher doses.
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Not from an animal but from a flower. It's a medicine made out of poppy flowers. Game of Thrones Wiki explains it pretty well:
Milk of the poppy is a powerful medicine, drunk as a liquid, which is used as both a painkiller and an anesthetic. Higher doses will induce unconsciousness, so patients can undergo surgery. It is commonly used throughout the Seven ...
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