What are the reasons for small black spots on a child's tongue

Patient's question:

What are the reasons for small black spots on a child's tongue and is it related to trace element deficiency? Treatment history and effectiveness: None
What kind of help do you need: Expert advice is required

Doctor's answer:

According to the description, is it on the tongue body or the tongue coating. If it's on the tongue body, there is a suspicion of inflammation related to qi stagnation and blood stasis, and it is recommended to undergo a comprehensive health check-up. If it's on the tongue coating, it may be related to the child's constitution and diet. Additionally, considering the child's age, it could be an issue with the liver, stomach, or spleen. A person's tongue reflects their physical condition, so it is advised to see a doctor. The specifics will depend on the child's situation. Wishing you good health!