Tongue like drinking hot water scalded feeling may be atrophic lingual inflammation, bacterial papillitis, burning mouth syndrome and so on leading to the tongue appear burning pain, specific as follows. 1. Atrophic lingual inflammation: the mucosal surface of the tongue papillae atrophy disappeared, the whole tongue color red, smooth as a mirror. The filiform papillae on the back of the tongue appear atrophy first, which can be accompanied by dry mouth, burning sensation and other symptoms, and then the bacillary papillae and other parts of the mucous membrane of the oral cavity can also appear atrophy, and the burning sensation is obvious when eating hot, spicy and stimulating food. 2. Bacterial papillitis: when bacterial papilla inflammation occurs, the papilla may be swollen, congested, burning, pain and other symptoms. 3. Burning Mouth Syndrome: characterized by dry mouth, burning pain, and altered sense of taste. Tongue like drinking hot water scalded feeling may have other reasons, it is recommended to go to the hospital in a timely manner, clear causes for targeted treatment.