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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.
Surprisingly, most of the gas within a fart is odorless, and only a very small percent (around 1 percent) causes the signature foul smell of farts. The reason for stinkiness in general comes down to how much sulfurous gasses form within the intestines.