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A: Geographic tongue is a fairly common condition. It can occur at any time in life, including childhood. It is estimated to affect from 1 - 2.5% of the population. In affected individuals geographic tongue tends to vary in color, shape and size --- hence the name of the condition.
Geographic tongue is a minor â although sometimes uncomfortable â condition. However, lesions on the tongue may indicate other more serious conditions of the tongue or diseases affecting the body in general. If you have lesions on the tongue that don't resolve within seven to 10 days, see your doctor or dentist. Smooth, red, irregularly shaped patches (lesions) on the top or side of your tongue. 2  Frequent changes in the location, size and shape of lesions. 3  Discomfort, pain or burning sensation in some cases, most often related to eating hot, spicy, salty or acidic foods.