Urinary Tract Infection (UTI): A common condition where bacteria infect the urinary system, often causing an ammonia-like odor in the urine due to the breakdown of urea by bacterial urease. This could lead to a perception of an ammonia smell and taste.

Kidney Stones: Certain types of kidney stones, especially those caused by urinary tract infections, can lead to an ammonia smell in the urine.
Dehydration: Concentrated urine can have a stronger smell, sometimes perceived as ammonia-like, due to the higher concentration of waste products.
Dietary Factors: Consuming foods high in sulfur or certain vegetables can alter urine odor, potentially leading to an ammonia-like smell.
Gastrointestinal Issues: Conditions like gastroesophageal reflux disease (GERD) or certain infections could potentially cause a bad taste that might be described as ammonia-like.

Diabetic Ketoacidosis (DKA): A serious complication of diabetes characterized by the production of ketones, which can give urine a fruity or ammonia-like odor. Missing this diagnosis can be life-threatening.
Liver Failure: Advanced liver disease can lead to an accumulation of toxins, potentially causing alterations in taste and smell, including an ammonia-like perception.

Maple Syrup Urine Disease: A rare genetic disorder that can cause urine to smell sweet, like maple syrup, but in some cases, might be perceived differently due to individual variations in smell perception.
Phenylketonuria (PKU): Another rare genetic disorder that can cause an unusual odor in urine, sometimes described as musty or ammonia-like, due to the accumulation of phenylalanine.
Trimethylaminuria: A rare genetic condition where the body is unable to break down trimethylamine, a compound with a strong, fishy or ammonia-like odor, leading to a characteristic smell in urine, sweat, and breath.