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Why Does My Poop Smell So Bad? Unpacking Digestive Health Concerns

By Dr. Shubham Pandey +2 more

Key Highlights: 

  • Foul-smelling stools can be caused by dietary habits, malabsorption, infections, and antibiotics. 
  • Odour in stool can serve as an indicator of certain health issues. 
  • Understanding the underlying causes may help improve digestive health. 
  • Management options include dietary modifications, medications, and addressing infections. 
  • Lifestyle changes and good hygiene practices may help avoid bad-smelling stool. 
     

Introduction 

Sometimes you would have observed that your poop smells so very bad. In this article, we will try to understand the causes for it and what it may reveal about your gut health. By understanding why it happens and what to do about it, you may get a handle on your bowel movements. 

What Causes Foul-Smelling Stools? 

The process through which your body breaks food down and your gut bacteria are major players in stool smell. Stool odour is key in flagging possible health problems. This knowledge allows you to take steps for good gut health. 

why does my poop smell so bad

Causes of Foul-Smelling Stool 

1. Dietary Habits 

 Some foods can make your stool smell bad, here are a few examples. 

  • Consumption of  high-sulfur foods 

Certain foods break down in your gut to emit a rotten egg smell. They tend to be high in sulfur,  which are as follows.  

  • Meats and birds 
  • Seafood 
  • Eggs 
  • Dairy items 
  • Cruciferous vegetables (like broccoli, cauliflower, cabbage) 
  • Allium vegetables (such as garlic, onions, leeks) 
     
  • High-fat diets 

A fat-rich diet can make your stool smell worse. This happens because fats are more resistant to digestion and absorption. When undigested fats reach the large intestine, they become food for gut bacteria, causing a bad smell. 

2. Consumption of alcohol and caffeine 

Alcohol and caffeine can speed the transit time of stools, resulting in smelly stools. Besides, too much alcohol can disrupt your gut flora and make your stools smell worse. 

3. Malabsorption 

When your body fails to break down and absorb nutrients properly, it’s called malabsorption. The result is a stinky stool, along with other problems like loose bowels, bloating, and gas. Several health issues could cause this which are as follows.  

  • Lactose intolerance 

Many people find it tough to digest lactose, the sugar in milk and dairy foods. When it ends up undigested in the large intestine, it ferments, generating gases and a foul smell. 

  • Celiac disease 

This autoimmune problem, sparked by gluten in wheat, rye, and barley, can harm the small intestine’s lining. This damage makes it tough for the body to take up nutrients. This may lead to a smelly stool. 

  • Pancreatic insufficiency 

When the pancreas cannot make enough enzymes to digest and absorb food, it results in fatty, stools called steatorrhea. 

  • Inflammatory bowel diseases (Crohn’s and Ulcerative colitis) 

Digestive tract inflammation could result from diseases like Crohn’s or ulcerative colitis. This inflammation interferes with nutrient absorption and leads to a smelly output. 

4. Infections 

Gut infections can also lead to a smelly stool. 

  • Bacterial (e.g., Clostridium difficile) 

C. diff is a type of bacteria that can cause fluid loss from the body and other gut problems. A common clue of a C. diff invasion is particularly stinky stool. 

  • Viral (e.g., Rotavirus) 

Rotavirus often leads to upset stomachs in kids. Alongside loose bowels and puking, this infection can end up in a foul-smelling stool. 

  • Parasitic (e.g., Giardia) 

The Giardia lamblia parasite leads to giardiasis. With this illness, you might experience loose bowels, gas, and stomach aches. The symptom list includes unusually foul-smelling stools. 

5. Antibiotics and Supplements 

Antibiotics fight harmful bacteria but can upset the balance of your gut flora. This upset could lead to loose bowels and stinky stools. 

Plus, some supplements could also impact your stool smell. If you notice changes in stool odour while on medications or supplements, best to discuss it with your healthcare provider. 

Other Factors 

Other issues that can contribute to bad-smelling faeces are as follows: 

1. Constipation 

Slow bowel movements can result in dry, hard, and smelly stool due to increased bacterial fermentation. 

2. Overuse of laxatives 

Using laxatives often can irritate the bowel, generating loose, smelly stool. 

3. Gastroesophageal reflux disease (GERD) 

In GERD, stomach acid backflows into your food pipe, causing heartburn and more. While GERD might not directly change stool odour, it could upset digestion and exacerbate the faeces smell. 

In my experience, I have found that foul-smelling stools may also be a sign of a condition called Hirschsprung’s disease (HSCR). In HSCR, the absence of certain nerve cells in the lower part of the gut can lead to digestive issues and foul-smelling stools. If you see that your poop keeps smelling bad and you also feel your belly getting bigger see a doctor urgently.

Dr. Siddharth Gupta, B.A.M.S, M.D

Diagnosis and Management 

Identifying the culprit behind foul-smelling feces is key to finding the right plan for management. Tools or checks your healthcare provider may use are as follows.   

  • Stool tests for infections or absorption problems. 
  • Blood tests for inflammation, nutrient shortages, or allergies. 
  • Breath tests for poor carbohydrate digestion and bacterial overgrowth. 
  • Scoping your digestive system for possible problems like inflammation, ulcers, or tumours. 
     

Once the reason for bad-smelling stool is clear, management can be matched to the cause.  

  • Food changes to cut trigger foods or adapt to absorption issues. 
  • Off-the-shelf medications for hard stools, loose bowels, or heartburn. 
  • Probiotics to bring back a healthy gut bacteria balance. 
  • Prescription medications for infections, GERD, or stomach and bowel inflammation. 
     
  • Specific fixes for infections – antibiotics, antiviral drugs, or parasite killers. 

Under the guidance of the doctor any of the above options may be recommended depending on the cause. 
 

How to avoid foul-smelling stools?  

Taking steps to keep your gut healthy may avoid smelly stool. Here are some tips: 

  • Eat a balanced diet with plenty of fruits,  vegetables, grains, and lean proteins. 
  • If you smell trouble after high-sulfur foods, go for low-sulfur items. 
  • Avoid allergic reactions by keeping away from allergens. 
  • Cook, store, and handle food in a food-safe manner. 
  • Keep your hands clean. Wash them before you cook or eat, and after using the toilet. 
  • Drink clean, safe water to keep harmful parasites or bacteria at bay. 
  • Include regular work-outs in your daily routine for smooth bowel movements. 
  • Try stress management techniques for a healthy gut and overall well-being. 
  • Stay hydrated with a good amount of water every day. 
    All these may help you reduce the risk of foul-smelling stools.  

Conclusion 

Understanding what causes foul-smelling stools may help you keep your gut healthy. By actively finding triggers and managing root causes, you can keep your body running fit. Use the insights shared in this article to take care of your gut health. 

Also Read: Why Does Sperm Make Me Smell Fishy? Probing Into Sexual Health Mysteries

Frequently Asked Questions(FAQs) 

Why does my poop smell like sulfur? 

Sulfur smell is due to high-sulfur foods like some meats, seafood,  cruciferous vegetables, etc. After digestion, these foods emit a rotten egg smell. 

Is foul-smelling poop a sign of cancer? 

In some cases, smelly stool points to medical conditions like chronic pancreatitis or pancreatic enzyme reduction, which might be signs of pancreatic cancer. If your stool odour changes for a while, get a healthcare professional to check over the situation. 

How do I make my poop less smelly? 

To dial down on stool smell, you could adjust your diet, cutting back on high-sulfur foods and going for a balanced diet. Regular workouts, drinking plenty of water, and safe food practices may also help. 

What does celiac poop smell like? 

In celiac disease, poor nutrient absorption can result in fatty, greasy, foul-smelling stools, termed steatorrhea. 

How can I improve my gut health to prevent bad-smelling poop? 

Boost gut health with the right diet, lots of fluids, regular exercise, stress control, and safe food practices. Adding probiotics to your diet may also balance your gut bacteria for better digestive health. 

References: 

  1. National Center for Biotechnology Information (NCBI). Rotavirus [Internet]. [cited 2024 Jan 25]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558951 
  1. Centers for Disease Control and Prevention (CDC). Rotavirus [Internet]. [cited 2024 Jan 25]. Available from: https://www.cdc.gov/rotavirus/index.html 
  1. National Center for Biotechnology Information (NCBI). Validity of an observational assessment tool for multifaceted evaluation of faecal condition [Internet]. [cited 2024 Jan 25]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403287 
  1. National Center for Biotechnology Information (NCBI). Malabsorption Syndromes [Internet]. [cited 2024 Jan 25]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553106 
  1. National Center for Biotechnology Information (NCBI). Clinical Pharmacology of Antibiotics [Internet]. [cited 2024 Jan 25]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625637 
  1. National Center for Biotechnology Information (NCBI). ADVERSE EFFECTS OF NUTRACEUTICALS AND DIETARY SUPPLEMENTS [Internet]. [cited 2024 Jan 25]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380172 
  1. National Center for Biotechnology Information (NCBI). Giardiasis [Internet]. [cited 2024 Jan 25]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513239 
  1. National Center for Biotechnology Information (NCBI). Diagnosing gastrointestinal illnesses using fecal headspace volatile organic compounds [Internet]. [cited 2024 Jan 25]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721995 
  1. National Center for Biotechnology Information (NCBI). Gastrointestinal Emergencies [Internet]. [cited 2024 Jan 25]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7115008 

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