In a survival situation this could be a life or death situation if you decide to stay in one place.
So no matter how you clean yourself make sure it's away from water and do make sure you clean yourself as not only can it make you sick it can give you nasty sores as well. And don't go wash your feces hands in your water source. If you're going to do that. Try to make like a little water hole away from the water source before your dump. But honestly I like the sand/dirt idea.
Personally the only time I have pooed in the wild without wipes was in the middle of the desert so I just used some rocks. It didn't touch my hands and I was able to just throw them far away. - Just make sure you don't scratch yourself. (and if you're sticking around I wouldn't throw them, but if you're traveling I guess it wouldn't matter to you.) But whether you care or not always void allowing any bodily fluids to go into the water. (this includes urinating when swimming)
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