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There are many things that could cause your basement floor drain to back up. One significant cause of a drainage backup is flushing non-flushable items, such as wipes, paper towels, and facial tissue. Other causes of a backed-up basement floor drain include tree roots impeding the drain pipe or an accumulation of hair, oil, and grease. 

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.

It's advisable to have your sewer line inspected every three to five years to ensure its proper functioning and detect any potential issues early on. However, the frequency of inspections can vary based on factors such as the age of your sewer system, the type of pipes used, and your property's location. If you notice any warning signs like slow drains, foul odors, or sewage backups, it's essential to schedule an inspection promptly, regardless of the regular maintenance schedule. 

It’s generally safe to stay in a house that smells like sewage, but you should get the problem fixed as soon as possible. In most cases, the level of sewer gas you’re exposed to in a home will be low enough to only cause minor symptoms, though high levels of gas exposure can be more dangerous. If you’re smelling sewer gas in your home, it’s important to locate, assess, and fix the problem, because it won’t go away on its own.