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No, the pink ring in your toilet bowl isn’t a hard water stain but a type of bacteria called Serratia marcescens. This bacteria can also cause pinkish stains in other areas of your bathroom, like around your tub, shower curtains, and faucets. Thankfully, it’s considered to be harmless. However, if you or anyone in your household is immunocompromised, it can cause issues like urinary tract infections. You can clean the pink ring with bleach and a plastic brush. Wear gloves and goggles when using bleach, and always work in a well-ventilated room.

Replacing a standard toilet with an elongated one is straightforward. The two types can be installed using the same existing drainpipe and plumbing. If you have a small bathroom, make sure that an elongated toilet doesn’t violate local building codes for clearance, which is the space between fixtures and walls. 

A high pitch noise after flushing is likely caused by the fill valve being clogged with debris. You can repair this and eliminate the noise by removing the fill valve from the tank, and then cleaning the valve screen. Place the clean fill valve back in the tank and flush as normal.

Yes, you should screw your flange to the subfloor, including cement. The best way to get this done is to predrill holes into the concrete using a hammer drill and a ¼-inch concrete bit. Be careful when you’re ready to bolt your flange down, as you can accidentally crack it. You can avoid this issue by not installing the screws too deep. Or, you can opt for a flange with a stainless steel ring so you don’t have to worry about cracking the plastic.