<s>[INST] Lately my husbands urine has a very strong smell. today he is running a fever for no apparent reason. He lost a kidney about 30 years ago due to kidney stones.but said he is not having any pain. Do you think the fever and the strong smelling urine could be related? [/INST] HelloThanks for query. Strong smelling urine with fever strongly suggest acute UTI. Please get his routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. He needs to take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure he Chat Doctor. To keep his urine dilute This will help to control dysuria. </s>