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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.
Lower intestinal gas is produced normally by the fermentation of undigested complex sugars. Sulfur compounds, ammonia, and methane add an unpleasant odor to colonic gas. A rare disorder, malabsorbtion, results in large amounts of undigested fats or sugars entering the bacteria rich environment of the colon.