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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.

No, you should not see water in a sewer cleanout. If you do, it could indicate that you have a block or leak in your main sewer line—which can cause sewage to back up inside your home and potentially flood your yard. Your best bet is to call a local sewer cleaner if you notice any water or sewage around your cleanout.

If methods like hot water or a plunger don’t work on your clogged drain, you can snake your drain to dislodge the plug. This can be a messy process, taking some physical effort and additional time over the other drain-clearing options. You can purchase a drain snake at a hardware store and choose from handheld options or those attached to a drill. Just work slowly, and be ready to call a plumber if you’re unable to reach the clog from your drain or P-trap.

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.