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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.
The reasons your urine has a strong odor include: -Foods, medications and vitamins can all potentially cause your urine to smell. For example, eating asparagus or pineapple can both change your urine's odor in different ways. -Dehydration can leave the urine more concentrated, so it takes on more of an ammonia-like smell. -Bacteria in the urine can give it a foul odor. This can be caused by a bladder infection or fistula (when an opening forms between the bladder and bowel). -What causes urine to smell sweet? This may be due to high blood sugar, and can be a sign of poorly controlled diabetes.