Red spots on tongue, excessive partying....

This has happened to me before.  The first time it happened was after spring break where I did a lot of cocaine, drank a lot of alcohol, and barely ate anything.  I came back and a few days later I started getting these little red bumps on the tip of my tongue.  I went to the doctor and told him what had happened and he said that I needed to stop.  Well, this weekend, starting Thursday and running to Saturday night, I drank a whole lot and on Friday night snorted some Adderall (adderrall).  Saturday morning and all up through Sunday night, I couldn't eat anything.  Well Saturday I drank even more.  I **** for two days straight uncontrollably.  I've finally gotten my appetite back and my poop is solid again, but now my tongue feels like it has been burnt and the little red dots are back at the tip.  Does anyone know what causes this?  Should I go to the doctor again?