Can red spots on the tongue without coating be caused by excessive fatigue?
Generally, red patches on the tongue without coating may be caused by excessive fatigue when they appear after prolonged staying up late or physical exhaustion without other lesions. However, if there is clear oral trauma or infection, they may not necessarily be caused by overwork. Detailed analysis is as follows:

If there has been continuous high-intensity work or severe lack of sleep recently, and red patches appear on the tongue without coating, and there are no obvious injuries such as bites or ulcers, and symptoms improve after rest, this situation may be caused by excessive fatigue.
If red patches on the tongue without coating are caused by mucosal damage from eating excessively hot food, or caused by fungal infections, viral infections, and symptoms persist even after the fatigue condition improves, and are not clearly related to the degree of rest, these situations may not be caused by excessive fatigue.
After noticing abnormal tongue conditions, ensure adequate rest and avoid continuous fatigue, while maintaining oral hygiene. If symptoms do not improve or worsen after more than one week, seek timely medical examination to determine the cause and receive targeted treatment.