Yeah, so this is actually a thing. A lot of people around the world don't use toilet paper at all — not in the way Americans or Europeans think of it. Instead, they've got other methods that are honestly more hygienic, way more sustainable, and frankly, more comfortable. Toilet paper? That's a pretty recent invention, mostly popular in North America, Europe, and bits of East Asia. Meanwhile, a huge chunk of the planet is using water, special tools, or just their left hand. Wild, right? The big one is water. It comes through a bidet, a handheld sprayer (sometimes called a "bum gun" or health faucet), or just a simple jug or bucket. In South Asia, Southeast Asia, and the Middle East, water is the standard. The left hand does the cleaning — you apply the water and scrub — while the right hand is kept for eating, shaking hands, and all the "clean" tasks. Then you've got leaves, corn cobs, stones, moss, rags — it really depends on what's around. In rural parts of Africa and Asia, people might use water with a small scoop or pot. Japan? They've got high-tech bidet toilets with heated water, air drying, even deodorizers. Kinda makes you think twice about dry paper. Honestly, doctors say water is better. Dry paper can just smear stuff around instead of actually cleaning it. That can cause itching, irritation, and even infections like UTIs or anal fissures. Water washes everything away, leaving way less bacteria on your skin. But — and this is key — it depends. If you're sharing a dirty bucket of water and don't wash your hands, that's a problem. Modern bidets and sprayers with clean, pressurized water? That's the gold standard. The World Health Organization and a lot of gastroenterologists recommend water-based cleaning for optimal perianal health. So yeah, science backs it up. This goes way back. In Hindu, Muslim, and Buddhist traditions, it's all about ritual purity. The left hand is the "unclean" hand — only used for toileting and cleaning yourself down there. The right hand? That's the "clean" hand, used for eating, giving gifts, and social stuff. You mess this up, and it's a huge social faux pas. In countries like India, Pakistan, Bangladesh, Indonesia, and across the Arab world, this is just how it's done. It's not about being poor or lacking resources — it's a deliberate, cultural practice for hygiene and order. People think it's weird, but it's super intentional. Depends where you are. Southern Europe — Italy, France, Spain, Portugal — they've got a strong bidet tradition. In Italy, it's actually legally required in new homes. You'll find a separate bidet fixture or a combo toilet-bidet in almost every bathroom. Northern Europe, like the UK, Germany, and Scandinavia? Historically more toilet paper, but that's changing. Wet wipes and bidet attachments are becoming more common. A lot of modern European bathrooms now have "shower toilets" or handheld sprayers, blending both approaches. The trend is definitely moving toward water. Yes, the practice of using water for cleansing after defecation (Istinja) is a religious requirement in Islam. It's part of personal hygiene (fitrah). You might use toilet paper to dry or for initial cleaning, but water is necessary to be considered ritually pure for prayer. In Muslim-majority countries, bidet sprayers or water jugs are standard in every bathroom. Yeah, in many traditional cultures, especially in rural South Asia, Southeast Asia, and the Middle East, toilet paper just isn't a thing. People rely entirely on water and the left hand. In fact, a lot of folks there see toilet paper as unhygienic, messy, and wasteful for the environment. It's only in the last century that toilet paper became a global product, and it's still not the norm for most people worldwide. No, when done right, water-based cleaning actually reduces infection risk. Dry wiping with toilet paper can leave microscopic fecal matter behind, which causes irritation and can introduce bacteria to the urethra (leading to UTIs) or anal glands. Water washes it all away. Just make sure the water source is clean and you dry the area afterward — a constantly moist environment can promote fungal growth. The widespread use of toilet paper in the US comes from historical industrial development, marketing, and plumbing infrastructure. In the late 19th century, companies like Scott Paper Company mass-produced it, making it cheap and everywhere. US plumbing was designed to handle paper, too. Cultural norms and lack of exposure to bidets reinforced the habit. But now, with environmental concerns and a growing "bidet culture," that's slowly changing.Do some cultures not wipe after pooping
What do people use instead of toilet paper?
Is it more hygienic to use water instead of toilet paper?
Why do some cultures use the left hand for cleaning?
Do Europeans use toilet paper or bidets?
Data table: Global toileting methods
Region
Primary Method
Secondary Tool
Cultural Note
South Asia (India, Pakistan)
Water (jug or sprayer)
Left hand
Left hand strictly for cleaning; right hand for eating.
Middle East & North Africa
Water (shataf or bidet sprayer)
Left hand
Islamic hygiene rules (Istinja) mandate water use.
Southeast Asia (Indonesia, Thailand)
Water (bum gun)
Left hand
Bum guns are standard in every bathroom.
East Asia (Japan, South Korea)
High-tech bidet toilet
Toilet paper for drying
Washlets with heated seats and warm water are common.
Southern Europe (Italy, France)
Bidet (separate fixture)
Toilet paper for drying
Bidets are a standard bathroom fixture.
North America (USA, Canada)
Toilet paper
Wet wipes (increasingly)
Bidets are rare but becoming more popular.
Sub-Saharan Africa (rural)
Water + leaves/stones
Left hand or stick
Methods vary widely by local resources.
Checklist: How to adopt water-based cleaning
Frequently asked questions (FAQ)
Do all Muslims use water instead of toilet paper?
Is it true that in some cultures people never use toilet paper?
Does using water for cleaning cause more infections?
Why do Americans use so much toilet paper?
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