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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-smelling urine: Introduction. Ammonia-smelling urine: Ammonia-smelling urine refers to urine with an odor of ammonia. See detailed information below for a list of 1 causes of Ammonia-smelling urine, including diseases and drug side effect causes. Causes of Ammonia-smelling urine: Introduction.  Ammonia-smelling urine refers to urine with an odor of ammonia. See detailed information below for a list of 1 causes of Ammonia-smelling urine, including diseases and drug side effect causes. Â» Review Causes of  Causes.