Hydrogen sulfide (H2S) IS THE THIRD GASO-TRANSMITTER SIGNALING MOLECULE THAT NATURALLY SYNTHETIZED FROM L-CYSTEINE AND HOMOCYSTEINE BY DIFFERENT NON-ENZYMATIC AND ENZYMATIC PATHWAYS. CYSTATHIONINE GAMMA LYASE AND CYSTATHIONINE BETA SYNTHASE ARE TWO KEY INVOLVED ENZYMES THAT CATALYZE THIS CONVERSION. IN CONTRACT TO NO AND CO, H2S IS A STABLE MOLECULE IN BODY FLUID COMPARTMENTS. THIS MOLECULE IS FOUND IN BODY FLUIDS AS HS- AND H2S FORMS. LITERATURES HAVE BEEN SHOWN THE VARIOUS PHYSIOLOGIC AND PHARMACOLOGIC EFFECTS OF H2S ON BODY FUNCTIONS. THE CYTO-PROTECTIVE, ANTI-APOPTOTIC, ANTI-OXIDANT, ANTI-CANCER AND ANTI-INFLAMMATORY EFFECTS OF Hydrogen sulfide HAVE BEEN ELUCIDATED. Hydrogen sulfide APPROXIMATELY AFFECTS ALL ASPECTS OF GASTROINTESTINAL FUNCTIONS INCLUDING SECRETION, MOVEMENT, AND ABSORPTION. EFFECT OF H2S ON GI MOVEMENT IS DOSE-, AND ORGAN-DEPENDENT. H2S AT PHYSIOLOGIC DOSES STIMULATES THE FREQUENCY AND AMPLITUDE OF THE SPONTANEOUS CONTRACTIONS OF GASTRIC SMOOTH MUSCLE CELLS WHEREAS AT HIGHER DOSES INHIBITED IT. H2S INHIBITED THE SPONTANEOUS CONTRACTIONS IN DUODENUM, JEJUNUM AND ILEUM. IT HAS BEEN REPORTED THAT H2S ACTS AS A VASORELAXANT AND INCREASES SUB MUCOSAL BLOOD FLOW LEADS TO SECRETION AND ABSORPTION. IT REGULATES THE GASTRIC ACID SECRETION THROUGH UP REGULATION OF ENOS, AND MUCOSAL NO PRODUCTION AS WELL AS DOWN REGULATION OF A-SUBUNIT OF PROTON PUMP IN THE STOMACH. H2S CONTRIBUTES IN PRE-EPITHELIAL AND SUB-EPITHELIAL BARRIERS OF THE GASTRIC MUCOSA BY INCREASING THE GASTRIC MUCOSAL BLOOD FLOW, UP REGULATION OF GENE EXPRESSION OF CYCLOOXYGENASES (1 AND 2), CALCITONINE GENE RELATED PEPTIDE, AND ALSO PROMOTE THE PRE-EPITHELIAL BARRIER BY STIMULATION OF MUCUS AND BICARBONATE SECRETION. H2S, ITS DONORS AND ITS PRECURSOR HAVE ALSO BEEN SHOWN THAT PROTECT THE GASTRIC-, ESOPHAGEAL-, INTESTINAL-, AND COLONIC MUCOSA AGAINST DIFFERENT EXPERIMENTAL IRRITANTS AND NOXIOUS STIMULI INCLUDING NSAIDS, ISCHEMIA/REPERFUSION INJURY, ACETIC ACID, AND ETC.