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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.
Smelly flatulence results from the presence of sulphur or bacteria in the gastrointestinal tract â bowel and rectum â giving the gas a rotten egg or cabbage smell. Noisy flatulence occurs due to the sphincter muscle in the anus vibrating as peristalsis movement pushes the gases forward to be released by the anus.