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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.
Several factors may contribute to what causes urine to smell, and most of them mean you should consult your doctor, according to the National Institutes of Health. The reasons your urine has a strong odor include: -Foods, medications and vitamins can all potentially cause your urine to smell.