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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.
To determine if your urine odor is caused by a medical condition, your doctor will use several tests. Urine analysis: A sample of your urine is tested for signs of certain types of bacteria as well as other elements, and may also do a bacteria culture of your sample.