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Some medical conditions can cause very foul smelling gas, such as irritable bowel syndrome and inflammatory bowel disease. However, these conditions bring with them other symptoms that are difficult to ignore, such as diarrhea, change in appearance of stools, abdominal cramps and sometimes abdominal pain.
Most normal adults have scattered gas throughout their small and large bowel [4, 5]. In the large bowel there is usually mottled gas due to the presence of feces mixed with gas. This increases with age. There are usually numerous loops of gas-containing small bowel centrally located in the abdomen. The healthy patient with little or no small-bowel gas probably swallows very little air, especially during meals. The clue to identifying these patients is that they lack clinical signs of small-bowel obstruction or ischemia (Figs. 1A, 1B and 2).