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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.
The exact cause of irritable bowel syndrome is unknown. It is called a syndrome because it causes a wide range of symptoms that range from gas, bloating, and pain to constipation and diarrhea. Excessive stress, (either emotional or physical) can trigger flare-ups as can the wrong foods, hormonal variations, and even changes in activity patterns.