The tongue is particularly painful when eating spicy may be caused by oral ulcers, lingual inflammation and other conditions. 1. Oral ulcers: oral ulcers mainly occur in the oral mucosa of localized ulcerative damage, mostly related to genetics, pathogen infection, long-term dietary inappropriate and so on. After the disease, the oral mucosa will appear red, swollen, painful and other symptoms, stimulated by spicy food, the surface of the tongue will be particularly painful, you can use the compound chlorhexidine gargle, esacrine solution, furacilin solution and other drugs to treat. 2. Tongue inflammation: Tongue inflammation is usually related to vitamin deficiency, bacterial infection, and incomplete oral cleaning. It usually manifests as swelling, burning sensation and numbness of the tongue, which can cause special pain on the surface of the tongue after eating spicy food, and this condition can be treated with ampicillin capsule, azithromycin capsule, amoxicillin capsule and so on. Once the above symptoms appear, it is recommended to consult a doctor in time to identify the cause and actively cooperate with the doctor for standardized treatment and medication, do not self-medication. Pay attention to keep the mouth clean and hygienic during the medication, and rinse your mouth in time after meals to avoid aggravating the pain.