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Dr. Victor Marchione explaining various causes of a cracked tongue, symptoms to watch out for, and possible remedies to employ for treatment. Red Spots on Tongue, Under, Back, Tip of Tongue Heal Cure Last updated on November 5th, 2. Why do I have red dots or spots on my tongue or what causes them Get insight on possible causes for both the small little, tiny or big, painful or painless and on the tip, under, side or back of the tongue as well as some symptoms that accompany them. Anyone can have red spots on tongue i. Vitamin Deficiency And Cracked Tongue Remedies' title='Vitamin Deficiency And Cracked Tongue Remedies' />However, some causes such as Kawasaki disease or hand foot and mouth is known to affect children, especially those below 5 years. Dark red spots. The appearance might vary in size, shape, and color e. Most people have reported small red spots on their tongue while a few report big ones. Are you finding difficulty in eating and drinking due to painful mouth ulcers But the question arises What exactly mouth ulcers are Mouth ulcers can be defined. Vitamin Deficiency And Cracked Tongue Remedies' title='Vitamin Deficiency And Cracked Tongue Remedies' />Furthermore, the dots or spots may be many clustered or evenly distributed, a few or even just one small or two dots. Finally, they may be bumpy raised above or flat and they can be located on the tip of, side, back o, under or even on the entire tongue surface. In some instances, they can also be on roof of the mouth, on gums, inner cheeks, inner lips, or even on your lips. Symptoms. The obvious symptom or sign is the appearance of the red spots or dots. They could be painful or painless or have a burning sensation feeling like you got burnt. Other symptoms will depend on what is behind the appearance of the spots. We will give you specific symptoms while looking at each of the possible causes. This will make diagnosis much easier. Images and pictures. Before we look at the causes, we have included a few pictures below and more in this posts to help you visually get an idea of how this condition may look like. Red spots on tongue pictures. Geographic tongue and red spots on tip. Remember, how your case will look like will depend on what causes it. Do not be worried if your red spots look slightly different from what is shown in the pics photos or images. Vitamin Deficiency And Cracked Tongue Remedies' title='Vitamin Deficiency And Cracked Tongue Remedies' />This is just for illustration. Why do I have red dots on my tongue  causes. A red spotted tongue is nothing anyone wants to have especially due to the many rumors associating such spots with STDs like HIV or cancer. Before you worry yourself to death for no reason, here are some of common causes 1. Inflamed papillae. A more common cause of red dots on the tongue that hurt painful is inflamed papillae. This can be due to burns, traumatic injury, eating spicyhot food or beverages, or accidentally bitings. Smokers commonly get these dots that usually resolve themselves healthtap. Strawberry tongue Another common cause is a condition known as strawberry tongue. Possible causes of of this condition include lack of vitamin B 1. Scarlet fever. One of the possible cause could be scarlet fever. Scarlet fever is a bacterial throat infection caused by the various strains of Streptococcus. When you have scarlet fever, your tongue may become pale but coated with red spots patient. The small red rash will normally begin showing on your upper chest and neck before spreading to other body parts including your tongue, lips, nose, etc. Other symptoms of scarlet fever include a sore throat, fever, headache, feeling unwell, nausea, among others. Treatment is by a 1. Kawasaki Disease. This is a viral disease that affects mainly children who are below the age of 5 years that affects their lymph nodes, skin and mouth. It causes fever, swollen feet soles and palms that turn purple, swollen lymph nodes, swollen tongue with a white coating and big red bumps kidshealth. If untreated, it could cause complications including blood vessels inflammation or arrhythmias where heartbeat pattern is interfered with. Treatment is by intravenous IV doses of gamma globulin purified antibodies kidshealth. Oral cancer. Oral cancer tends to affect various parts of your mouth, lips,  under or on the two thirds of your front tongue. The one of on the back or base is considered part of neck and throat cancer. In early stages, mouth cancer does not cause any pain and it can start as a small tiny, little spot or sore on any part of your mouth including your tongue i. It is easy to confuse cancer with a cold sore mouth that wont go away. To be certain it is cancer, the symptoms you should look for include Sores in your mouth including sores on tongue that wont go away easily and tend to bleed quickly. Tenderness, pain, and numbness on any part of your mouth or lips. Eating, chewing, speaking and jaw and tongue movement problems and painA sore throat or feeling that something is caught in the throat that does not go awaySquamous cells flat cells on mouth surface. Most people often confuse canker sores to be cancerous since they are painful but that is not the case. Canker sores should heal after two weeks. If they do not go away after that period, you need to see a dentist for extermination. Oral cancer treatment is by chemotherapy, radiation therapy, surgery and targeted drug therapy. Other conditions to watch for include Erythroleukoplakia These are red and white patches that tend to be cancerous. In case you have them and they last for more than two weeks, get checked. Erythroplakia These are velvety bright red patches on the mouth and tongue that are precancerous i. Digestive disorders such as acid reflux. Having acid reflux is known to result in red dots or bumps when the acid regurgitated from the stomach reaches your tongue surface. Common symptoms of acid reflux include a heartburn, regurgitation, bloating, bloody stool, hiccups, dysphagia, etc. Allergic reactions. Allergic reaction to various allergens such as pet dander, food, medication, etc. Allergic reactions will have other symptoms such as itching mouth, swollen lip, face or throat, wheezing, trouble in breathing, nasal congestion, dizziness, hives, etc. Vitamin deficiency and pernicious anemia. Lack of vitamins, especially vitamin B 1. Ensure you have foods rich in vitamin B 1. There is an association between these dots or spots and anemia, especially pernicious anemia. The most common symptom of pernicious anemia is a smooth red beefy tongue, heartburn, nausea, depression, confusion, weight loss etc. It is caused by a deficiency in vitamin B1. Canker sores. Your painful blister like red spots could be due to canker sores especially if they have a yellow or white center and a red ring surrounding it. Canker sores will have other symptoms such as malaise, fever, swollen lymph nodes. Strep throat. If you notice you have prickly tiny red dots petechiae on your tongue, especially at the back of your part, you could be having strep throat a bacterial throat infection. These small dots will be either dark red or bright red i. Common symptoms of strep throat include throat pain, headache, and rash, tiny red spots on the hard and soft palate, swollen tonsils with white patches, swallowing difficulties, among others. Lie bumps or transient lingual papillitis. Another possible cause of little white or red spots or bumps lie bumps i. They are commonly caused by stress, local trauma, splitting taste buds, acidic or sour foods, smoking, menstruation, etc. Is it STD Sometimes, the problem could be caused by STDs. For instance, during initial stages, one is likely to have small little or tiny painless sore on the tongue, vulva, vagina, lips, cervix, or the point where the bacteria causing the disease enters the body. The rash can look like rough, red, or reddish brown spots cdc.