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If a toilet is not properly vented, you could experience issues like poor drainage, slow flushing, frequent clogs, malfunctioning traps, gurgling noises, and the release of sewer gasses. If left untreated, all of these issues could lead to longer term structural damage or (in the case of sewer gasses) harmful health side effects.

While technically possible, it is unlikely that a clogged toilet will fix itself. Clogs caused by water-soluble materials like toilet paper or human waste may eventually break down in the water, allowing flow to resume. However, this can take time, and any clogs from solid objects require manual removal. In most scenarios, especially if you don't have another bathroom, it is best to fix the clog yourself or call a plumber.

Basement toilets don’t always need a pump. However, it is the most common setup because plumbing systems use gravity to move waste away from the home. Basement toilets often sit below the home’s main sewage system, and installing a sewage ejector pump pushes the wastewater and sewage up to the main sewer line. Alternatively, you can use an upflush or macerator toilet that breaks down the waste and pushes it straight to the main sewer line rather than via a sewer line from the bathroom.

The amount of water wasted when a toilet ghost flushes depends on the cause of the ghost flushing. Leaky flapper valves tend to waste less water than a larger problem like a damaged flush valve that makes the toilet run constantly. Even if you don’t think you’re wasting a lot of water, it’s still a problem that should be fixed quickly.