A UK-based Nigerian medical doctor, Dr. Olufunmilayo, popularly known on social media platform X as OurfavonlineDoc, has cautioned people against relying solely on dry tissue paper for personal hygiene after using the toilet.
Dr. Olufunmilayo described tissue paper as one of the least effective cleaning methods, arguing that it fails to properly clean the anal area. According to him, this often leaves residue behind, causes persistent itching, and leads to stained underwear.
“The healthiest way to clean your anus after doing a poo is not tissue paper,” he wrote. “Tissue paper only removes some of the faeces and smears the rest around your anus. This is one reason why your boxers or underwear is always stained and your anus is sometimes itchy.”
He emphasized that washing with water remains the most effective and hygienic method, while wet wipes serve as the next best option. “The ideal and healthiest way to clean your anus is with water. The next best way is with wet wipes. Dry toilet tissue paper is the worst way,” he added.
The post sparked widespread debate online. Supporters of his advice pointed to practices in parts of Asia, the Middle East, and Africa where water is commonly used after defecation, noting that it leaves individuals feeling cleaner and fresher. Others, however, defended the use of toilet tissue, citing convenience and long-standing cultural habits, especially in Western countries where water-based cleaning facilities are less common.
Public health experts generally agree that washing with water promotes better hygiene, reduces irritation, and lowers the risk of infections. However, environmental experts caution against excessive use of wet wipes, warning that they can clog sewage systems if not disposed of properly.
Dr. Olufunmilayo concluded by urging people to adopt healthier practices where possible. “If you can afford to, or you have access to it, please always use water,” he advised.
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