The strong smell of urine can be caused by several common factors including dehydration, certain foods, medications, vitamins, and underlying health conditions. When the body is dehydrated, urine becomes highly concentrated with less water and more ammonia, which gives it a strong or ammonia-like odor. Foods such as asparagus, garlic, coffee, and some spices can make urine smell stronger due to the compounds they contain. Vitamins, especially B vitamins, and certain medications including antibiotics may also cause a noticeable urine smell. Additionally, strong-smelling urine can sometimes indicate health issues like urinary tract infections, diabetes (especially if the urine smells sweet), liver or kidney disease, or sexually transmitted infections. If the strong smell persists or is accompanied by other symptoms like pain or changes in urination, consulting a doctor is advisable for diagnosis and treatment. Drinking plenty of fluids usually helps dilute urine and reduces strong odors. If dehydration or dietary causes are ruled out, medical evaluation may be needed.
