Why Does Poop Smell Like Cheese?

The odor of human waste is a natural aspect of digestion, with variations in its smell being common. A distinct “cheesy” aroma can sometimes be noted, prompting curiosity about its origins and what it reveals about digestive processes.

The General Chemistry of Poop Odor

The characteristic smell of human feces results from biological and chemical processes within the digestive system. As undigested food passes into the large intestine, gut bacteria break down components through fermentation. This microbial activity produces various volatile organic compounds (VOCs) and sulfur-containing compounds. These include hydrogen sulfide, which has a rotten egg smell, and methyl sulfides like methanethiol, dimethyl disulfide, and dimethyl trisulfide. Other compounds contributing to the general odor profile are skatole and indole, nitrogen-containing compounds formed from tryptophan breakdown. The specific mixture and concentrations of these gases vary depending on individual gut microbiota and dietary intake, influencing the overall scent.

What Creates the “Cheesy” Aroma

The “cheesy” aroma is primarily linked to the production of specific short-chain fatty acids (SCFAs). These organic acids are byproducts of bacterial fermentation of carbohydrates and fats that were not absorbed in the small intestine. Butyric acid, also known as butanoic acid, is a notable SCFA known for its strong, pungent, cheesy, or rancid butter-like odor. Pentanoic acid (valeric acid) is another SCFA that can contribute to a putrid, rancid smell, and isovaleric acid is also associated with a cheesy or “sweaty feet” odor. While SCFAs are generally beneficial for gut health, their presence in higher concentrations or specific ratios can lead to distinct smells. The gut microbiome plays a central role in producing these compounds. Different bacterial strains ferment indigestible carbohydrates, resulting in the release of these odorous byproducts.

Dietary and Digestive Factors

Diet plays a significant role in influencing the specific chemical compounds produced by gut bacteria, affecting stool odor. Foods high in certain fats, dairy products, or particular types of carbohydrates can lead to an increased production of the short-chain fatty acids responsible for a cheesy smell. For instance, a diet rich in high-fat meats or cheeses can intensify stool odor. When the body struggles to break down excess fat, it passes undigested into the colon, contributing to the smell. Variations in gut microbiota composition or digestive efficiency also contribute to changes in odor. Conditions like lactose intolerance, where the body lacks the enzyme to properly digest lactose, can lead to undigested sugar reaching the colon. There, bacteria ferment it, producing gases and fatty acids that can cause foul-smelling stool. Malabsorption disorders, where nutrients are not properly absorbed, can also lead to excess unabsorbed fats and carbohydrates in the stool, resulting in bulky, greasy, and unusually foul-smelling feces.

When to Consult a Doctor

While variations in stool odor are often benign and diet-related, certain changes warrant medical attention. If a “cheesy” or unusually strong foul smell is persistent or accompanied by other concerning symptoms, it may signal an underlying health issue. These symptoms include persistent diarrhea, abdominal pain, unexplained weight loss, fever, or noticeable changes in stool consistency or color. Such symptoms could indicate conditions like malabsorption disorders, infections such as Clostridioides difficile, or inflammatory bowel diseases like Crohn’s disease or ulcerative colitis. Pancreatic insufficiency or liver disease can also impact digestion and lead to foul-smelling stools. Consult a healthcare provider if these symptoms arise for proper diagnosis and guidance.