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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.
Both the noise and smell associated with flatus leaving the anus can be sources of embarrassment or comedy in many cultures. There are five general symptoms related to intestinal gas: pain, bloating and abdominal distension, excessive flatus volume, excessive flatus smell and gas incontinence. Furthermore, eructation (an act or instance of belching, colloquially known as burping) is sometimes included under the topic of flatulence.