If your child has strawberry red dots on the tongue, it is usually considered to be caused by fire, scarlet fever, skin mucous membrane lymph node syndrome, vitamin deficiency, etc. It is recommended to go to the hospital for consultation and treatment after clarifying the cause. 1. Fire: Children often eat fried and greasy food, too little fruit and vegetables, drink too little water, coupled with hot and dry weather, which can easily lead to fire, can appear strawberry-like red dots on the tongue. It is recommended to change the diet, eat more vegetables and fruits, develop the habit of drinking water regularly and pay attention to more rest to relieve; 2, lack of vitamins: If the child has strawberry red dots on the tongue, but the mental state and appetite is normal, check the trace elements suggest a lack of vitamins. The child should follow the doctor’s instructions to take the right amount of vitamins and eat more vitamin-rich foods, adjust the sleeping habits, go to bed early and wake up early, and keep a happy mood. 3. Scarlet fever: the typical symptoms are fever, rash, and strawberry red dot tongue, which are mostly caused by infection with group A streptococcus. The disease is contagious, need to be isolated, can follow medical advice to use antibiotic treatment, preferably penicillin, penicillin allergy can choose erythromycin or cephalosporin, at the same time need to actively symptomatic treatment, such as high fever available antipyretics and physical cooling methods. Bed rest, light food, more water, keep the mouth and skin clean and hygienic; 4, skin mucosal lymph node syndrome: also known as Kawasaki disease, mostly in infants and children under 5 years old, mostly manifested as fever, rash, non-purulent lymph node enlargement in the neck, conjunctival congestion, diffuse congestion of oral mucosa, strawberry tongue, etc.. The treatment may include intravenous gammaglobulin or oral aspirin as prescribed by the doctor.