Usually they just burn a little, and the gastros I've seen have all told me that they are nothing to worry about at this stage. Right now i'm on vacation. They usually burn after I drink alcohol, so that is normal for me and I'm used to it, not really concerned. But, I have this pain if i put my finger just outside my anus (i think) and push up gently. I was just checking to see if they were turning into external hemms and that's when I noticed a pain. Should I get checked out? I'm a little nervous about it. There is no blood at all, unlike when I first had hemorrhoids. I took metamucil and eventually a week or two of suppositories and it was fine. It'd be great if an MD could respond! :(