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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.
Benign causes of urine odor. Urine odor may be caused by a variety of conditions that are not harmful or not caused by disease including: Eating certain foods, such as garlic, onions, fish and asparagus. Asparagus can cause a sulfur-like smell of the urine. The unusual odor should go away after these foods have been digested.