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What causes pain in the buttocks?

Why would a young man feel pain in his butt? I'm not an athlete, but I'm in pretty good shape, and I stay pretty healthy. But for the last couple weeks, I've got this dull ache in my butt that makes it tough to do some things, and it just about kills me if I sit down carelessly. Should I see a doctor?
There are a number of conditions that can cause pain that is felt in the buttocks. Most of these are not serious, but some do require medical evaluation. The doctors who will be well qualified to discuss this issue with you will include your primary care doctor or your sports medicine doctor. Several serious conditions, such as degenerative arthritis or loss of bone in the hip socket, can cause hip pain. These are rare in a young person who is not taking medications, who does not have any other medical problems, or who has pain but no limitation in the hip's mobility. Another serious problem could be an infection of the hip joint. This can be caused by any bacteria, but in young sexually active people is most commonly caused by gonorrhea. If there is fever or a skin rash, this problem may be more likely. Less concerning, and more common, can be simple inflammation or strain injuries involving one of the joints in the buttocks, the sacroiliac joint, or one of the fluid-filled sacs close to the hip join, called trochanteric bursitis. As always, the diagnosis and management of your specific condition will require a physical examination by your personal physician. Scheduling an appointment with your primary care doctor or sports medicine doctor is highly recommended if the pain persists.
This answer is for general informational purposes only and is not a substitute for professional medical advice.
If you think you may have a medical emergency, call your doctor or (in the United States) 911 immediately. Always seek the advice of your doctor before starting or changing treatment. Medical professionals who provide responses to health-related questions are intended third party beneficiaries with certain rights under Zocdoc’s Terms of Service.

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