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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.
1 The urine tends to be concentrated and have a strong smell of ammonia when an individual fails to take in sufficient amounts of water.  Liver damage - This may also cause an ammonia smell in urine, because the liver is responsible for removing and breaking down ammonia.