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The presence of bacteria in the urine, such as with a urinary tract infection (UTI), can affect the appearance and smell of urine. When there is an infection in the urinary tract, the urine may take on a foul-smelling odor as well as appear cloudy or bloody.
Causes. Urine odor is related to the volume and concentration of a variety of substances excreted by the kidneys. Normally, urine that contains a lot of water has little to no odor. If your urine becomes highly concentrated â a high level of waste products with little water â urine odor may have a strong ammonia smell. Many foods and medications, such as asparagus or certain vitamins, can affect the odor of urine. Sometimes, unusual urine odor may indicate a medical condition or disease, such as: 1  Bladder infection. 2  Cystitis (bladder inflammation). 3  Dehydration. 4  Diabetic ketoacidosis (high levels of blood acids called ketones). 5  Gastrointestinal-bladder fistula (abnormal connection between the intestines and bladder).