I'm interpreting that as you have eczema on your genitals or anus, I don't know much about eczema so can't speak to the condition so I'll speak in general. My

I'm interpreting that as you have eczema on your genitals or anus, I don't know much about eczema so can't speak to the condition so I'll speak in general. My mother has heart issues and she has a pump that's connected to her 24/7. She has a medical condition and so has special needs. I would not call that pump an essential but it certainly is essential for her. The context of this conversation has been _in general_, my responses were never meant to apply to those with medical conditions. to answer your question, a bidet is a nice to have, a toilet would be an essential otherwise you're shitting in the street, as you implied about downtown SF. Because toilet here does not mean literally toilet, but someplace reserved for using the restroom. When I go to the river to fish they have an outhouse there and I absolutely use it, as do construction workers with the mobile outhouses they employ. defecating and urinating are absolutely essential activities, how you clean yourself afterwards needs to happen but any specific way of doing it is not essential.