Hi Dear , Welcome to HCM. Understanding your concern. Thanks for your query . The symptoms you mention in query are indicating condition geographic tongue . It is harmless condition . It occurs when normally present papillae are absent from certain areas on tongue which appears like round red rash . It occurs when surface of tongue get irritated bu hot and spicy food and also related to chronic skin problems like psoriasis . I would suggest you to quit smoking habit . Usually symptoms will be relieved by simple method like using antiseptic mouthwash (listrine ), take ibuprofen or acetaminophen to pain and reliving inflammation, maintain proper oral hygiene and take antihistamine drug like benadryl. If condition doesn t get better or get worse consult dentist / oral pathologist for proper diagnosis and to rule out other condition like infection . Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari