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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.
Intestinal gas is composed of nitrogen, oxygen, carbon dioxide, hydrogen, and methane. These gases are generally odorless, but can become foul smelling when other gases, such as sulfates, are added. This occurs in two ways. First, if the gas remains in the intestines for an extended period of time, bacteria start adding foul smelling sulfates to it. The second thing that makes farts smelly is consuming foods that are high in sulfur.