Red spots on the baby’s tongue may be caused by lingual inflammation, Kawasaki disease, scarlet fever and other diseases, which can be treated with medication and surgery. 1. Tongue inflammation: children with tongue inflammation will have symptoms such as purple-red spots on the tongue surface, conscious numbness, and pain when eating, etc. Parents can follow the doctor’s instructions to give the children vitamin B supplements to ensure that the children have a sufficient intake of nutrients. 2. Kawasaki disease: the main symptoms of Kawasaki disease are prune tongue, skin rash, oropharyngeal mucous membrane congestion, lymph node enlargement, etc. Parents can follow the doctor’s instructions to apply injectable immunoglobulin for treatment, and can also use aspirin for treatment. If necessary, coronary artery bypass surgery, valve replacement, heart transplantation and other surgical treatments can be taken. 3. Scarlet fever: typical symptoms are “strawberry tongue”, rash, low fever, etc. Parents can use amoxicillin, erythromycin and other antibiotics under the guidance of the doctor to treat the child. For children with suppurating lesions, incision and drainage can be used as a surgical treatment. All of the above drugs should be used under the guidance of a doctor, avoid self-medication. There are many other possibilities for the symptoms of red dots on baby’s tongue. It is recommended to consult a doctor in time for evaluation by a specialist, improve relevant examinations and give targeted treatment or therapy.