Question: Mr. Cunha reports no fever, chills, weight loss, heat or cold intolerance, daytime somnolence, polyuria, polydipsia, headache, visual changes, tinnitus, hearing problems, nasal congestion, nosebleeds, difficulty swallowing, lumps in the neck, chest pains, cough, wheezing, hemoptysis, jaundice, nausea, vomiting, diarrhea, or constipation. He does report noticing some blood in his stool.