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In France, toilet sanitation was supplemented by the invention of the bidet in the 1710s. With the improvements to plumbing in the mid- to late 19th century the bidet moved from the bedroom (where it was kept with the chamber pot) to the bathroom. Modern bidets use a stream of warm water to cleanse the genitals and anus. Before modern plumbing, bidets sometimes had a hand-crank to achieve the same effect. The bidet is commonplace in many European countries, especially in Spain, Portugal, Italy and Greece, and also in Japan where approximately half of all households have a form of bidet (often combined with the toilet in a single appliance). It is also very popular in the Middle East.
The use of water in Muslim countries is due in part to Muslim sharia which encourages washing after all instances of defecation.[4][unreliable source?] Further, Islam has made flexible provisions for when the water is scarce that the use of stones or papers can equally be practiced for the act of cleansing after defecation as well as in ablution. The use of these other means to clean one's self doesn't include animals bones or skin in consideration to these being food for other animals and non-human creatures. In many countries, a hand-held bidet or pail of water is used in lieu of a pedestal. In Japan, a nozzle placed at rear of the toilet bowl aims a water jet to the anus and serves the purpose of cleaning; however, this arrangement is common only in Western-style toilets, and is not incorporated in traditional designs.
In the U.S. Bidets are not yet as popular as in Europe and the Middle East, but are slowly becoming more common. Attachable stainless steel or plastic bidets that are affixed to existing toilets are gaining popularity for their ease of use and low price. These units may combine affordability and adjustability in order to augment acceptance by the American public.
Another popular alternative resembles a miniature shower and is known as a "health faucet" or a bidet shower. It is commonly placed in an alcove to the right hand side of the toilet, thus enabling the person using it to have it within an arm's length for easy accessibility.
In Southeast Asian countries such as Indonesia, the Philippines, Thailand, house bathrooms usually have a medium size wide plastic dipper (called gayung in Indonesia, tabo in the Philippines) or large cup, which is also used in bath

...which is also used in bathing. However, most general households utilize toilet paper, "health faucets", or bidets (in some rich mansions) as well. Some health faucets are metal sets attached to the bowl of the water closet, with the opening strategically pointed at the target anus. Toilets in public establishments mainly provide toilet paper for free or dispensed, though the dipper (or even a cut up PET bottle or plastic jug, or disposed ice cream can) used for this purpose is occasionally encountered in some establishments. Though most Thais find it difficult not to cleanse their anus with water, most of the shopping malls do not provide health faucets since they are considered to be dirty and could make it hard for them to keep the bathrooms clean.

The first "paperless" toilet was invented in Japan in 1980. Called a "spray toilet," it is a combination toilet, bidet and drier, controlled by an electronic panel next to the toilet seat. Some modern Japanese bidet toilets, especially in hotels and public areas, are labeled with pictograms to avoid language problems, and most newer models have a sensor that will refuse to activate the bidet unless someone is sitting on the toilet.

Roman anal cleansing was done with a sponge on a stick. The stick would be soaked in a water channel in front of a toilet, and then stuck through the hole in front of the toilet for anal cleaning.[5][6]

Rags or washcloths are sometimes used. They are then washed similarly to cloth diapers and used again.