I'm sorry that your question wasn't answered in a timely manner. It's important to note that once a macaw acts ill they're quite ill and in need of the attention of an avian-oriented vet (please see here: www.aav.org). This is a protective mechanism because sick birds are attacked by other birds in the wild. Dougle's symptoms of grunting and fluffing up are important symptoms but they're not pathognomonic (specifically indicative) of any one disorder and, in fact, they may be behavioral rather than medical and so an avian vet should take a look at Dougle to first rule out a medical problem before addressing him as an anxious or otherwise disturbed bird.
An avian vet might perform blood tests and cultures of Dougle's choana - the slit between his oral cavity and nose - and cloaca (vent) may be taken.
Until he can be attended to, please heat up his environment to 85F by means of a 100W bulb shined into his partially covered cage (not at night when he needs to rest) or by taping a heating pad set on its lowest setting to the sides of his cage. If he appears weak to you, remove his perches and put his food and water on the bottom of the cage along with his. Add a water soluble avian vitamin such as Oasis brand to his water at half of the recommended dose so as not to make his water distasteful. Add a calcium supplement such as Calcivet or Calciboost to his water. These supplements are available in pet/feed stores. Avoid over the counter antibiotics designed to be placed in his water. They won't be effective if only because an ill bird won't drink enough to medicate itself properly.
Nutritional imbalances are a common cause of illness in our pet birds. What has Dougle's diet consisted of, please? I suspect that its been nicely varied if he's eating from everybody's laps. Seeds should compose less than 20% of his diet. Ideally, a balanced pelleted diet such as can be found here: www.harrisonsbirdfoods.com or here: www.lafeber.com/pet-birds should be fed as well as hard boiled egg yolk, pancakes and cornbread, the tops of fresh greens, dairy products such as yogurt and cheese, fresh fruits such as apples, pears, melon, kiwi, and berries, vegetables such as broccoli, carrots, beets, asparagus, cabbage, sweet potato, and squash, and even tiny pieces of meat.
Please respond with further questions or concerns if you wish.