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1 If the liver is unable to break down the ammonia it is excreted in the urine.  Other diseases - Other common causes of the ammonia smell in urine are diabetes, metabolic disorders, sexually transmitted diseases, medications, vitamins, and nutritional supplements.
Ammonia smell is a concentrated urine due to dehydration. Burned caramel smell is a sign of a very rare life-threatening inherited maple syrup urine disease. Certain foods and medicines, including vitamins, may affect your urineâs odor ~ asparagus causes a characteristic odor.