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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.
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally, intestinal gas escapes through the mouth (belching) or the anus (passing of flatus).