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urine smells very strongly of ammonia.

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For the past year, my urine smells very strongly of ammonia. It smells the strongest after I urinate two to three times, especially late in the afternoons and at night. I have the tendency to hold my urine till I feel like I will leak on myself and sometimes I do. I drink a lot of coffee with a LOT of sugar, I also drink red wine 2 to 3 times per week. I hate drinking water but do when I can (maybe a glass or two a day. During those times, I also feel fatigued, extremely sleepy even though I sleep for 8 hours or more. Can someone please tell me what is going on with me?

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replied January 29th, 2011
Vaginal and Uterus Health Answer A19113
Welcome to ehealthforum.
Your symptoms are suggestive of possible ketonuria, or urine with ketone bodies in it. Since there is family history of diabetes, you are prone to have it too. Drink plenty of water (about 8-10 glasses per day), avoid a lot of sugar and foods with high carbohydrate content. Consider getting a blood and urine test done to check sugar levels along with glycosylated hemoglobin (HbA1C).
Take care.

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