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It is generally safe to stay in a house that smells like sewage for a short time, but you should get the problem fixed as soon as possible. While the level of sewer gas is usually low enough to only cause minor symptoms, prolonged inhalation can lead to headaches, nausea, or respiratory irritation. High levels of gas exposure can be more dangerous, and high concentrations of methane—a component of sewer gas—can pose an explosion risk in enclosed spaces. If you smell sewer gas in your home, ventilate the area and call a professional to locate, assess, and fix the problem, as it will not go away on its own.

The cost to repair a main sewer line clog is about $3,110 on average. The average cost range is  $1,310 to $4,950, but it can go as low as $215 and as high as $9,300 or more. The cost factors for this repair include the severity of the clog, pipe accessibility, video inspection, removal method, permits, pipe material, labor rates in your area, and time of year. Repairs made from outside during the winter can be more difficult due to the frozen ground or during the spring if the ground is saturated from a lot of rain and snow melt.

If you’ll be digging up your floor to get access to your pipes when putting in a sewer backflow preventer, this would also be a good time to take care of any other plumbing issues or renovations. For example, you could install additional pipes for a basement bathroom. Since the floor will be sealed over with concrete when you’re done, now’s a good time to take care of those bigger tasks.

Yes, sewage smells can originate from a floor drain. If the P-Trap in the floor drain dries out or if there's a clog or other issue in the plumbing system, sewer gasses can escape through the drain, causing nasty odors. Regularly pouring water into the drain helps maintain the water seal and prevent those smells, but if the smell persists, you should have a plumbing professional inspect the drain for potential problems.