### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello doctor, there s are some of the symptoms my friend suffers from and he went 2 Kaiser Permanents but he told me that not eventhe doctor was sure of what he might have. Okay so these are some of the symptoms. he has trouble breathing he has to us an inhaler everytime he has to do something atheletic he gets chest pain, he doesn t get hungry as much he tends 2 eat a few meals a day, he has high blood pressure, he has a history of alcohol since he was 15 he has been drinking, now when he want to do intercourse he can t his penis doesn t fuly stand, he doesn t get morning hard ons. His doctor told him he might be close to diabetes, but I would like 2 know why his penis doesn t go up and what are the causes of him getting fever he hasn t been sexuality active and he came out negative for all sxually transmuted diseases. He ended up in the hospital a few weeks ago because he keeps getting cuts on the nostrials of his nose without him self makin them by the sounds of it, it sounds he may have a weak Immune system, he ended up in the hospital because of a cold and he vomited a lot. I thought maybe it could mean somethings wrong with the hypothalamus, but it s just a guess. Hope someone could hep me.

### output:

Hello, I passed carefully through your question and would explain that your symptoms could be related to autonomic dysfunction or peripheral neuropathy.  Coming to this point, fever could be related to recurrent infection.  While the erectile dysfunction could be related to peripheral neuropathy and autonomic dysfunction, probably caused by Chat Doctor.  For this reason, I would recommend performing further tests: - complete blood count for anemia- PCR, ESR - a chest X-ray study and pulmonary function tests (considering his shortness of breath)- vitamin B1, vitamin B12 plasma levels for possible deficiency-blood electrolytes- HbA1C for diabetes- a cardiac ultrasound and a resting ECG to examine his heart. - nerve conduction studies to examine for possible peripheral neuropathy.  Starting vitamin B1 supplements may be needed. Regarding the erectile dysfunction, I would recommend trying Calls.  You should discuss with his doctor on the above issues.  Hope I have answered your query. Let me know if I can assist you further. 