The upper wall of the throat has red dots for more reasons, common hand, foot and mouth disease, acute tonsillitis, herpes pharyngitis and so on. 1. Hand, foot and mouth disease: it is caused by enterovirus infection, the rash period can appear in the oral mucosa scattered corn-like red herpes, other parts of the body such as hands, feet, buttocks, etc. There are also scattered rashes or herpes. 2. Acute tonsillitis: acute non-specific inflammation of the palatine tonsils, mainly severe sore throat, accompanied by chills, high fever, dysphagia and other systemic symptoms. Examination can be seen on both sides of the tonsils or tongue and palate arch surface covered with white, yellow or red dotted exudates. 3. Herpes pharyngitis: sudden onset, mainly manifested as fever, sore throat; physical examination can be seen oral pharyngopharyngeal isthmus mucous membrane congestion, the appearance of scattered gray-white herpes, surrounded by redness and swelling. The upper wall of the throat with red dots may also be other reasons, such as the emergence of sore throat, it is recommended to go to the otorhinolaryngology in a timely manner, improve the examination to clarify the cause of the disease, give targeted treatment or treatment.