There are small red papillae on both sides of the tongue, a lump has appeared on the jaw, the mouth hurts when consuming hot food, and the tongue is involved.

The patient presents with small red spines on both sides of the tongue, which may be related to deficiencies in vitamin B2, glossitis, or hypertrophy of the lingual papillae. Glossitis is usually caused by infection, and inflammatory factors may stimulate local tissues, leading to the formation of red fleshy spines. This may also be accompanied by pain, burning sensations, and altered taste. Lumps appearing on the jaw may indicate swollen lymph nodes, submandibular gland inflammation, subcutaneous lipoma, or sebaceous cysts. Additionally, oral pain when consuming hot foods may be associated with conditions such as oral ulcers, oral herpes, or lichen planus. The following recommendations are provided:

1. Improve oral hygiene: Maintain good oral cleanliness by brushing teeth twice daily and using dental floss to clean between teeth, which can reduce bacterial levels in the mouth and help alleviate symptoms.

2. Dietary adjustments: Avoid consuming excessively hot, hard, or spicy foods that may irritate the oral mucosa and worsen pain. Increase intake of foods rich in vitamins B and C, such as fresh vegetables and fruits, to aid in the repair of oral mucosal tissues.

3. Regular medical checkups: If symptoms persist or worsen, seek timely medical attention for a comprehensive examination to determine the underlying cause. If necessary, doctors may prescribe medications, such as anti-inflammatory drugs, antifungal agents, or topical treatments.

4. Avoid self-diagnosis and self-medication: Do not purchase medications on your own, especially antibiotics, as inappropriate use may lead to drug resistance or other health complications.