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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 is used to neutralize the strong acid. Ammonia is a very strong alkali. It overpowers the acid and the urine registers highly alkaline, around pH 8.0 or higher. This alkaline environment is then the perfect breeding ground for urinary tract bacteria resulting in infection.