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On average, you should call a pro to pump your cesspool once per year. If you have a larger home with a lot of family members, you may need to pump more (up to six times per year). On the flip side, if you’re talking about a cesspool for a home you don’t use much or if you’re the only occupant in a home, you won’t have to pump nearly as much.

Your septic tank naturally contains the good bacteria it needs, so you typically don't have to add more as the system produces them on its own. However, if you wish to replenish the bacteria, you can use natural methods. For example, you can add three rotten tomatoes to your garbage disposal or flush 1/4 ounce of active yeast down the toilet every three months. While store-bought septic enzymes and chemicals are available, many additives are unnecessary and may even harm your system. The most effective way to maintain a healthy bacterial balance is to avoid using chemical drain cleaners, which can kill the beneficial bacteria in your tank.

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 best thing to unclog a septic tank is a mechanical auger, especially if the clog is far down the line or particularly dense. You can also clear a clog in a septic line with a wooden pole or steel rod. Be sure to follow safety precautions when working in a septic tank, including wearing heavy-duty work gloves, goggles, and a gas mask.