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Yes, a septic tank can get full. If this happens, you might run into issues flushing your toilets or draining your sinks. You may also notice your pipes making gurgling noises or the smell of sewage floating around your house. Other signs of a backed-up septic tank include water pooling or fresh, healthy grass growing above your drain field.

A few signs can indicate that your cesspool needs to be emptied outside of its typical schedule. An unpleasant odor coming from your pipes or near the cesspool, gurgling noises in your pipes, and uncharacteristically good growth in your yard are signs of cesspool problems that suggest build-up or overflow. If your pipes back up, you should have your cesspool looked at right away.

A septic smell may be harmful because sewer gas is dangerous depending on the exposure amount and length of time. Sewer gas is made up of multiple gases, including hydrogen sulfide, methane, ammonia, and carbon dioxide. Some of these gases, like hydrogen sulfide and ammonia, are toxic to humans and can be fatal in high concentrations or long exposures.

If you’re not using a septic system, problems with your home’s plumbing won’t cause this—it’s a city problem. A large blockage in the municipal sewage lines may cause those lines to back up into your home. This is extremely unpleasant and can be a serious health risk due to bacteria and other contaminants. If this occurs, call a pro (or your city) immediately.