Farting very smelly may be caused by physiological factors such as improper diet, or it may be caused by diseases such as intestinal flora dysbiosis, acute gastroenteritis, etc. It can be treated by general treatment, medication and other ways. 1. Physiological factors: if people eat a lot of protein-rich food, its decomposition by the digestive tract may produce ammonia, resulting in smelly farts. People need to adjust the factor structure, reduce the intake of protein food, and eat more fresh fruits and vegetables as appropriate. 2. Intestinal dysbiosis: patients with intestinal dysbiosis may have intestinal tinnitus and diarrhea at the same time as farting, patients need to maintain a light diet, and they can also take Bifidobacterium trichotomum capsules and lactobacillus tablets as prescribed by the doctor to regulate the intestinal flora. 3. acute gastroenteritis: acute gastroenteritis patients will also appear stinky fart phenomenon, may also be accompanied by abdominal pain and diarrhea and other symptoms, pay attention to dietary hygiene during the treatment, patients need to take montelukast, elimination of Caduceus particles and other drugs to improve the symptoms of diarrhea, the patient exists immune deficiencies, serious bacterial infections and other phenomena, you can take cephalexin tablets, amoxicillin capsule and other medications to treat. People with very smelly farts are recommended to be admitted to the hospital for examination and standardized treatment according to the cause after physiological factors have been ruled out. Drugs need to be used under the guidance of a professional physician, and should not be used arbitrarily on their own.