Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: history of present illness: forty-eight year old with a history of occasional stress headaches who presents with four episodes of melena. she states that this has not occurred previously also with abdominal cramping. states that melena has large volumes and is complaining of dizziness. she went to her care center and had another episode of melena at the care center. vital signs at the care center: blood pressure 118/50 with a heart rate of 88 sitting, blood pressure 90/50 with a heart rate of 112 standing. a og lavage was performed with coffee grounds, that were mostly cleared after 500 cc of flushing and the lavage was terminated due to patient's discomfort. she notes that she has been ingesting advil periodically within the past two weeks. she states that she has been taking 600 mg about 4x over the last 10 days due to tension headaches. she denies any vomiting, but with occasional retching. she was admitted to the fenard icu for further monitoring. past medical history: 1. osteoporosis. 2. tension headaches. 3. depression. allergies: the patient has no known drug allergies. medications on admission: 1. multivitamin. 2. fosamax q week. 3. celexa 40 mg p.o. q.d. 4. hormone replacement therapy. social history: the patient lives in . has four children and has a boyfriend. she is currently unemployed and lives with her mother. she was a former banking employee. she smoked a pack a day for the past 38 years and occasional wine. family history: significant for breast cancer and cad in her mother. there is no history of gi malignancy. review of systems: a 10 pound weight loss over the past month, poor energy level over the past two weeks, as well as poor appetite. she denies any constipation. denies any fever or chills, but notes that she has been having night sweats that have been common since her menopause. physical exam on admission: temperature 98.3, blood pressure 100/52, heart rate of 86, breathing at 20, and 100% on room air. in general, the patient is a pale appearing female in no acute distress. heent: pupils are equal, round, and reactive to light. extraocular muscles are intact. pale conjunctiva. oropharynx is clear. neck is supple with no lymphadenopathy and no bruits. neck veins are flat. lungs are clear to auscultation bilaterally, no wheezes, rales, or rhonchi. cardiovascular examination: s1, s2, regular rate with no murmurs, rubs, or gallops. abdominal examination: bowel sounds present, soft, nontender, nondistended. c section midline scar well-healed, no guarding, tenderness, or rebound. guaiac positive on emergency department examination. extremities: no edema, warm, 2+ posterior tibial pulses bilaterally. neurological examination: alert and oriented times three. pertinent laboratory data: white count 10.5, hematocrit 26.9, platelets 315. sodium 140, potassium 3.4, chloride 106, co2 26, bun 23, creatinine 0.7, glucose 112, calcium 9.3, pt 12.9, ptt 22.5, inr 1.1, alt 4, ast 14, alkaline phosphatase 43, amylase 120, total bilirubin 0.2, ck 64, troponin-t less than 0.01. hospital course: 1. upper gi bleed: patient was admitted to the intensive care unit for hemodynamic monitoring. she was given iv fluid hydration and a repeat hematocrit was drawn revealing a value of 18.9. patient was consented for blood transfusion at this time and was given 2 units of packed red blood cells without incident. a gi consult was obtained and subsequent egd was performed on hospital day #2, which revealed a normal esophagus, several erosions of the mucosa in the stomach with no active bleeding noted in the fundus and cardia compatible with nsaid associated gastropathy. the rest of the egd was unremarkable. she was started on protonix 40 mg p.o. daily and will continue this medication for a six week course. h. pylori antibodies were checked in the serum which were negative. she was instructed to continue taking her fosamax as instructed once a week and to followup with her primary care physician in the next 2-4 weeks or sooner if further episodes of melena persisted. she was followed on a clear diet, and was advanced rapidly. a repeat hematocrit post egd revealed a value of 30.5, and was deemed stable for discharge to home. incidentally, cardiac enzymes were also drawn with her low hematocrit, but were unremarkable. condition on discharge: stable. discharge status: home with followup with her primary care physician, . . discharge medications: 1. multivitamins. 2. fosamax q week. 3. celexa 40 mg p.o. q.d. 4. hormone replacement therapy. 5. protonix 40 mg p.o. q.d. x6 weeks. discharge diagnoses: 1. upper gastrointestinal bleed secondary to nonsteroidal anti-inflammatory gastropathy. 2. osteoporosis. 3. tension headaches. 4. depression. , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine other irrigation of (naso-)gastric tube diagnoses: anemia, unspecified tobacco use disorder osteoporosis, unspecified unspecified analgesic and antipyretic causing adverse effects in therapeutic use other specified gastritis, with hemorrhage tension headache 

Answer: The patient is high likely exposed to