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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.
There is probably cell rigidity and the kidneys are probably no longer reclaiming acidity. The first morning urine pH may be alkaline. Check the urine dipstick for any abnormalities and run a blood chemistry screen and CBC Baseline Lemon 1 2 3 4 5 5.he alkaline spike after 1 minute indicates that ammonia is being used as a buffer. Ammonia, and not minerals, is being released. You may notice the ammonia response in the urine, which may have an ammonia smell. This patient will complain of being wiped out and fatigued.