What causes small red patches on tongue?

Kelon Nyanguno
2 min readOct 28, 2023

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Image Credits: Spots on tongue: Causes and when to see a doctor medicalnewstoday.com

Small red patches on the tongue can be caused by various factors, and their significance may vary depending on the specific characteristics and any accompanying symptoms. Here are some potential causes of small red patches on the tongue:

  • Irritation or Trauma: Minor injuries, such as accidentally biting your tongue or consuming very hot food or beverages, can lead to red patches. These patches are typically temporary and should heal on their own.
  • Spicy or Acidic Foods: Consuming highly spicy or acidic foods can irritate the tongue and result in redness or small patches.
  • Allergies: Allergic reactions to certain foods, food additives, or oral care products (toothpaste, mouthwash) can cause redness on the tongue. This may be accompanied by other allergy symptoms.
  • Infections:Oral Thrush: This is a fungal infection caused by Candida yeast. It can result in white or red patches on the tongue and other parts of the mouth.Viral Infections: Some viral infections, such as herpes simplex virus (HSV), can cause red sores or ulcers on the tongue.
  • Oral Lichen Planus: This is a chronic inflammatory condition that can cause red or white patches on the tongue and other areas in the mouth.
  • Geographic Tongue: Some people have a benign condition called geographic tongue, where areas of the tongue develop irregular, map-like patches. These patches can be red, but they change in location and shape over time.
  • Burning Mouth Syndrome: This is a chronic condition characterized by a burning or tingling sensation in the mouth, including the tongue. Redness and discomfort on the tongue may be a symptom.
  • Irritants and Habits: Using tobacco, chewing betel nut, or other irritating habits can lead to redness or discoloration of the tongue.
  • Underlying Medical Conditions: Sometimes, small red patches on the tongue can be associated with certain medical conditions, such as blood disorders or autoimmune diseases.

If you notice persistent or worrisome red patches on your tongue, especially if they are painful, do not resolve on their own, or are accompanied by other concerning symptoms, it’s important to consult with a healthcare provider or dentist. They can perform a proper examination and recommend the appropriate course of action, which may include further tests or treatments based on the underlying cause.

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