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Published on: 12/30/2025
Bad-smelling poop most often comes from common issues like diet high in sulfur foods or dehydration, but it can also signal infections, medication effects, malabsorption, pancreatic enzyme problems, SIBO, IBS, or liver and bile duct disease. There are several factors to consider; see below for the full list, odor-reduction tips, and the key warning signs plus tests like breath testing for SIBO, fecal elastase for pancreatic insufficiency, and liver-function or imaging that can guide your next steps and when to seek care.
Why does my poop smell so bad? Foul-smelling stool can be embarrassing and sometimes worrying, but it often has a clear explanation. Below are nine common causes—ranging from diet to digestive disorders—along with tips on when to get help.
Certain foods naturally produce more sulfur-containing gases, which make stool smell stronger. Common culprits include:
What to do:
Not drinking enough water can lead to harder, more concentrated stool, amplifying odors.
What to do:
Bacterial or viral infections (e.g., Salmonella, norovirus) and parasites (Giardia) can alter digestion and cause foul-smelling, watery diarrhea.
Red flags—see a doctor if you have:
Antibiotics can disrupt your normal gut flora, allowing odor-producing bacteria to overgrow. Other meds (e.g., metformin) may speed up digestion, leading to less-formed, smelly stools.
What to do:
When your body can’t absorb nutrients properly, fats stay in the gut and cause particularly foul, greasy stools (steatorrhea). Common causes:
What to do:
Your pancreas produces enzymes that break down fats, proteins and carbohydrates. If it under-performs (due to chronic pancreatitis or cystic fibrosis), undigested fats cause smelly, fatty stools.
Reference: Lindkvist et al. (2011) showed that measuring fecal elastase-1 is a reliable test for pancreatic exocrine insufficiency.
What to do:
Normally, the small intestine has relatively few bacteria. In SIBO, excessive bacteria ferment food too early, producing foul gases and often diarrhea or bloating.
Reference: Bures et al. (2010) outline how SIBO changes gut microbiology and causes malabsorption.
What to do:
IBS can cause changes in bowel habits (diarrhea, constipation or both) and shifts in gut bacteria, leading to odor changes.
What to do:
Your liver produces bile, which helps digest fats. Conditions like hepatitis or bile duct obstruction lead to inadequate fat digestion and especially smelly, pale, greasy stools.
Reference: Wai et al. (2003) describe simple noninvasive scores (e.g., FIB-4) that predict liver fibrosis and cirrhosis—important if you have chronic liver disease.
What to do:
Most causes of foul-smelling stool are harmless and resolve with diet tweaks or short-term treatment. However, see a healthcare professional if you have:
You might consider doing a free online symptom check for to get a preliminary assessment of your symptoms.
Foul-smelling poop is usually tied to diet, temporary gut imbalances or mild digestive issues. If simple changes don’t help or you have alarm symptoms, always speak to a doctor—especially if you suspect a serious condition like infection, pancreatic insufficiency or liver disease. A healthcare provider can order tests, offer treatments and help you get back to normal.
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