1. Acute liver failure
  2. Bladder infection
  3. Certain foods, such as asparagus
  4. Cystitis (bladder inflammation)
  5. Dehydration
  6. Diabetic ketoacidosis (high levels of blood acids called ketones)
  7. Kidney infection
  8. Maple sugar urine disease (genetic disease that causes difficulty breaking down certain amino acids)
  9. Metabolic disorder (a problem with the way your body converts the foods you eat into energy)
  10. Rectovaginal fistula (abnormal connection between the rectum and the vagina)
  11. Type 2 diabetes (Uncontrolled diabetes)
  12. Urinary tract infection
  13. Vitamin B-6 supplements

Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

Jan. 21, 2011