The different sound of exhaust after 44 days of perianal abscess surgery is usually due to digestive disorders, surgical stimulation, anal sphincter damage and other reasons. 1. Digestive disorders: Digestive disorders are usually caused by bloating, epigastric pain, etc. Usually, symptoms such as loss of appetite, nausea and vomiting will occur, resulting in a different sound of the exhaust gas. 2. Surgical stimulation: usually after surgery will stimulate the intestines and stomach and lead to the patient’s intestinal and gastric peristalsis accelerated, resulting in ventilation to enhance the function, resulting in the symptom of different sounds of exhaust. 3. Damage to anal sphincter: Perianal abscess surgery may damage part of the anal dilatation muscle, causing the anal sphincter to relax, resulting in a different exhaust sound. It is recommended that patients go to the hospital in time for examination, to clarify the cause of the disease, to give the corresponding conditioning and improvement, to do a good job of postoperative care and recovery, regular review.