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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.
1 Foul-smelling gas is often caused by bacteria in the colon that aids in digestion of foods that were not completely digested in the stomach and small intestines. 2  Infections, diseases and disorders of the GI tract can cause excess gas production. The normal process of digestion produces gasses in the intestinal tract. 2  Foul-smelling gas is often caused by bacteria in the colon that aids in digestion of foods that were not completely digested in the stomach and small intestines.