Tolle Causem

Tolle Causem

One of the 6 prinicples of naturopathic medicine is Tolle Causem, or Treat the Cause. The ultimate goal of a naturopathic physician is to identify and treat the cause of the patient’s disease or symptoms.

Conventional physicians will often claim to do the same thing. I recently saw an advertisement for a medication for GERD (also known as heartburn) that claims to treat the “cause” of heartburn by preventing the stomach from making stomach acid.

Do people with heartburn really have a deficiency of Tums or Prilosec? Wait a second…does stomach acid actually cause heartburn? Why do we even have stomach acid?

According to (a great resource for you aspiring physicians), stomach acid is a requirement to break down proteins into smaller pieces for easier digestion. Stomach acids also help the body absorb certain minerals and vitamins (did you know that long-term suppression of stomach acids can lead to osteoporosis?). Having stomach acid is also a vital part of our immune system (not very many bacteria can survive in that acid!), and decreasing your stomach acid can leave you vulnerable to infections by nasty bacteria like E. coli and others.

In fact, stomach acids are not the cause of GERD. Heartburn is actually caused by a weakness or relaxation of the muscle that separates the stomach from the esophagus. When this muscle relaxes, stomach acids come up into the esophagus and cause heartburn.

The job of a naturopathic physician is to figure out why this is happening, and to treat the true cause (not just give a bunch of drugs).

Note: this information is not intended to diagnose or treat any condition. Always consult your physician (preferably an ND) before making any medication or lifestyle changes. Remember, this is a blog, not a virtual doctor.

Erika Krumbeck, ND, FABNP
Erika Krumbeck

Dr. Erika Krumbeck is the proud founder and editor of, the leading internet source for trustworthy natural health information for children and naturopathic pediatric providers. She is also the owner of Montana Whole Health, a primary care naturopathic practice in Missoula, MT. She is one of few doctors with the FABNP designation, meaning she is a board-certified pediatric naturopathic physician. Dr. Krumbeck has specialized training in treating chronic conditions in children using safe, gentle and effective natural remedies. She helps bridge the gap between conventional medicine and complementary/alternative medicine by using both new research and traditional naturopathic therapies to guide treatment.

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