Question
The child’s tongue has many small red bumps resembling a strawberry tongue, with a thickened white coating in the center. There’s no pain, no other symptoms on the body, and the child is eating and drinking well, with no issues in their mental state. It’s been going on for three or four days. Could it be scarlet fever?
Answer
Based on your description, the changes in the child’s tongue coating and texture may be due to excessive stomach fire. It’s possible that the child has been drinking less water recently and consuming spicy, cold, and greasy foods, which have led to stomach heat rising to the tongue. It is recommended that you let the child maintain a light diet, avoid spicy, cold, and greasy foods, and ensure adequate water intake. This situation should gradually improve. This is not scarlet fever, and there is currently no need for medication treatment.