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“Yellow fever is said to smell like a butcher’s shop. Typhoid fever can smell like baked bread,” Dietz explains. Strep throat, sinus infections, colds, and other upper respiratory illnesses , on the other hand, smell more like bad breath, because infected mucus drains to the back of the throat and collects there. Diabetes can change the smell of your pee to a slightly sweet scent, as the condition means your body is unable to break down excess sugar (glucose) into energy. When to see a GP if you have smelly urine: Most of the time, smelly urine is totally harmless. But there are some instances where smelly urine may suggest an underlying problem.