I am so stressed

[Raven3x3]

I am the fiancé of a Hashitoxicosis sufferer. He has been suffering with this illness for at least 3 years. His mother and sister just have reg. Hypo. He is from Austria and is losing hope because one doctor told him he probably has cancer ( this person was an end but not a thyroid specialist, he special iced in diabetes) then while in Vienna I could not take it any more and I found him a proper endo who specializes in hasimoto's (he is lucky enough to be able to afford private insurance so he can see these specialists). At first she told him oh nothing to worry about but you have the much rarer kind Hashimoto's hypertrophe ...I had already told him about hashitoxicosis..but I am just a lay person with epilepsy who believes in questioning doctors. She then referred him to a surgeon and this man said it has to come out on the 28th of Jan. I know I haven't asked a question yet, but he is losing hope with the conflicting diagnosis' and this doctor has him now on 200mg of euthroyx. They have never done a finer needle aspiration and his esophagus is softened... furthermore because he loses hope and all this stresses him out he sees no value in life and sometimes smokes cigarettes... I am sitting here next to him listening to him breathe through much effort. Please, if you can let me know a way I can be supportive of him without seeming like a witch even though I am honestly completely worried about his health and that is all I would greatly appreciate it. I may have epilepsy but I have had it since I was 21. He got this or the full symptoms only 3 years ago and I feel for all of you who have it.
Thank you

[Barb135]

What tests have been done to determine Graves Disease?  Thyroid Stimulating Immunoglobulin (TSI) is the definitive test for Graves.  

Please post results, with reference ranges, so we can be more familiar with his situation.

[Raven3x3]

Yes he has both

[Raven3x3]

Sorry I didn't make that more abundantly clear

[Red_Star]

"It should be pointed out that, especially in the US literature, the term ‘hashitoxicosis’ is sometimes used to describe an autoimmune thyroid disease overlap syndrome of Graves’ and Hashimoto’s disease.  In this article the term is strictly limited to the ‘leakage’ symptoms of active Hashimoto’s disease." - Hashitoxicosis – Three Cases and a Review of the Literature

The recommended treatment for the Graves/Hashimoto's type of Hashitoxicosis is block and replacement therapy (anti thyroid medication as well as thyroid medication). Surgery is a last resort if symptoms cannot be controlled with this type of therapy.

[Barb135]

Hashitoxicosis is a hyper phase of Hashimoto's Thyroiditis.  Does your fiance actually  have hyperthyroidism?

Hashimoto's Thyroiditis is an autoimmune thyroid disorder, in which the body sees the thyroid as foreign and produces antibodies to destroy it. It's typically, associated with hypothyroidism, but can be characterized by periods of hyperthyroidism.

Euthyrox is a T4 (levothyroxine sodium) medication that's used to treat hypothyroidism, which is under active thyroid.  It would not be prescribed for someone who has hyperthyroidism, which is over active thyroid.

Please post whatever thyroid related blood tests your fiance has had done.  They should have done Free T3 and Free T4, which are actual thyroid hormones; Thyroid Stimulating Hormone (TSH); and antibody tests, Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TGab).  The Free T3 and Free T4 levels would determine whether your fiance is hyper or hypo.  High levels would indicate hyper, low levels would indicate hypo.  TSH is a pituitary hormone produced to stimulate the thyroid.  When one is hyper, it's, typically, very low and when one is hypo, it's, typically, higher than normal.

Once you post those results, we will be able to better assess the situation and give you some better answers.  Be sure to post the lab's reference ranges from the report as ranges vary lab to lab and have to come from his own report.