A toilet comprising a seat for supporting a user during use of the toilet, a bowl for catching excreta from the user, a retractable bidet wand adapted to extend after excretion has concluded, a bidet head located on the end of the bidet wand, adapted to spray water on the exposed surface of the user, an image sensor on the bidet wand, adapted to capture images of the exposed surfaces of the user, and a processor to analyze the images to detect health issues.