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Secondary causes may be due to: dry mouth, which is often a side effect of medications or a symptom of another medical condition thrush, which is an oral yeast infection oral lichen planus, which is an often chronic inflammation inside the mouth thats caused by the immune system launching an attack on the mouths mucous membrane cells geographic tongue, which is a condition in which the tongues surface is missing some of its typical small bumps (papillae) and instead has areas of red and sometimes raised patches that tend to disappear and then reappear in different areas of the tongue vitamin deficiencies dentures injury or mouth trauma allergic reaction to certain foods stomach acid that makes its way into the mouth from conditions such as gastroesophageal reflux disease (GERD) medications, such as those used for high blood pressure diabetes, hypothyroidism, and other endocrine disorders an imbalance of hormones, such as during menopause grinding the teeth, brushing the teeth too hard, using mouthwash too often, and other unhealthy oral habits Tongue burn A burn of the tongue looks and feels different, depending on the degree of the burn: A first-degree burn involves the outermost layer of the tongue