Hot and spicy tongue may be a normal physiological phenomenon, but also may be caused by pathological factors such as burning mouth syndrome, tongue fungal papillitis, tongue mucositis. 1. Physiological factors: such as spicy stimulating food, smoking, drinking alcohol, etc. may cause the tongue has a hot and spicy feeling, light diet and drink more water, the symptoms can be gradually relieved. 2. Pathological factors (1) Burning Mouth Syndrome: mainly occurs in the tongue, can be manifested as hot and spicy tongue, pain, numbness, taste disorder and other symptoms, can be seen in menopausal or pre-menopausal women, but also may be related to neuropsychiatric factors. (2) Tongue bacterial papillitis: tongue bacterial papillitis can cause red spots, congestion, swelling and other symptoms of the mucous membrane of the tip of the tongue, and inflammatory stimulation can be accompanied by hot burning pain. (3) inflammation of the mucosa of the tongue: such as dental calculus, sharp tooth tips and other stimulation of the mucosa of the tongue, causing inflammation of the mucosa of the tongue, can also appear tongue hot and painful symptoms. The causes of tongue pain are not limited to the above factors, so it is recommended to go to the hospital in a timely manner, improve the oral examination, identify the causes and then actively treat them to avoid delaying the condition.