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Underlying Medical Causes of Urine Odor. Several conditions can cause strong or unusual urine odor. The most common causes include: Dehydration. Dehydration occurs when you do not drink enough fluids. If you are dehydrated, you may notice that your urine is a dark yellow or orange color and smells like ammonia.
One possibility, diabetes, is a serious medical concern. Other reasons can range from diet â specifically asparagus â to a urinary tract infection, which requires treatment. Causes for strong urine odor include: Urine concentration: It's normal for urine to have a stronger odor first thing in the morning. After a night's sleep, urine is more concentrated and odorous as well as brighter yellow in color. Dehydration also increases urine concentration, causing stronger smelling urine.