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Common drain issues include slow-running drains, whether in a sink or shower, clogged drains, a bad smell, and water backing up into a sink, shower, or bathtub. Causes range from hair, grease, roots, or toilet paper clogging the drainpipes to flooding outside the home, which prevents sewer lines from draining properly.

There are several common signs that your main sewer line may be clogged. Key indicators include multiple fixtures in your home draining slowly, gurgling sounds coming from drains or toilets, and water backing up into showers, sinks, or toilets. You might also notice water backing up from the plumbing system's drain cleanout, water in your basement drain, or unexplained wet patches on your lawn. Foul odors, such as the smell of raw sewage or rotten eggs, are another common symptom. The most reliable way to confirm a main sewer line clog is to hire a professional plumber to perform a camera inspection.

It's advisable to have your sewer line inspected every three to five years to ensure its proper functioning and detect any potential issues early on. However, the frequency of inspections can vary based on factors such as the age of your sewer system, the type of pipes used, and your property's location. If you notice any warning signs like slow drains, foul odors, or sewage backups, it's essential to schedule an inspection promptly, regardless of the regular maintenance schedule. 

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.