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: patient is a 45-year-old female with a history of internal hemorrhoids with bright red blood per rectum status post banding with history of gastritis, h. pylori treated in , three colonic polyps seen on ct colonoscopy on presented to the emergency department on with bright red blood per rectum. the patient reports she has had one episode of dark stool with diffuse abdominal cramping, nausea, and vomiting. she said the symptoms lasted about 45 minutes. about two days prior to admission, she had a similar episode with dark stool and abdominal cramping with no nausea or vomiting, but did have lightheadedness, dizziness, and palpitations. she denied syncope, and chest pain, or shortness of breath. she presented to the emergency department that day on the , but the patient was hemodynamically stable with a hematocrit of 37. a nasogastric lavage was performed and was negative. the patient was discharged home at that time with a plan for an outpatient colonoscopy. on the night of admission, on , the patient had two episodes of dark stool and presented to the emergency department again. on presentation, the patient was afebrile with a blood pressure of 115/59, her baseline systolic is about 100-110. pulse in the 70s and hematocrit was 34. this patient was admitted by night float and prepared for a colonoscopy with golytely. during the prep, the patient had three episodes of bright red blood per rectum associated with a decreased blood pressure to the 80s and an increase in pulse. she was fluid resuscitated with her blood pressure increasing to 100/70 and her pulse in the 70s. at that time, she was transfused 3 units of red cells and a repeat hematocrit went from 34 to 30 to 26. patient was taken for a tag red blood cell scan. following the scan, the patient passed bowel with bright red blood clots, dark stool. she did remain hemodynamically stable and was taken to the intensive care unit. past medical history: 1. internal hemorrhoids. 2. asthma. 3. depression. 4. colonic polyps per ct colonoscopy. abnormal ct scan and follow-up mri which showed stable enhancing liver lesions consistent with cysts. 6. h. pylori positive treated in . lumbar disk degeneration. 8. pericarditis in . 9. egd in which showed chronic active gastritis. 10. a stress test in of 01 which was normal. 11. two c sections. 12. abdominoplasty. 13. questionable colitis for 20 years. outpatient medications: 1. flonase prn. 2. advair prn. 3. treated with protonix on her admission on the in the emergency room. allergies: no known drug allergies. social history: about one pack a week of tobacco, occasional alcohol. she is a graphic designer. has three kids and is married. family history: no cancers, no inflammatory bowel disease. her mom has asthma and . her dad: diabetes, hypertension, end-stage renal. patient's exam at admission: temperature is 98.7, blood pressure 106/58, pulse 72, o2 saturations is 99% on room air. she appeared comfortable. pupils are equal, round, and reactive to light. moist mucous membranes. oropharynx clear. neck: no nodes, no thyromegaly. lungs are clear to auscultation bilaterally. heart: regular, rate, and rhythm. abdomen: mild tenderness on palpation, no rebound, no guarding, normal bowel sounds, no masses, no hepatomegaly. extremities: 2+ pulses, no edema, no cyanosis, and no clubbing, 2+ reflexes throughout, 5/5 strength. neurologic: cranial nerves ii through xii are grossly intact, awake, alert, and oriented times three. she was a great historian. hospital course by problems: 1. red blood per rectum: after transfer to the intensive care unit, the patient remained hemodynamically stable. she did not require any further transfusions. her hematocrit remained stable between 32 and 34, and she did not pass any more bright red blood per rectum. she had an egd which was normal. she underwent a colonoscopy on the 3rd which was normal and enteroscopy on the 4th revealed gastritis, but no active bleeding. she was started on protonix 40 mg once a day. she had two peripheral iv's, a 16, 18 gauge and her hematocrit was checked q12h. she also had a small bowel follow-through which was also normal. on the patient was advanced to a full diet and hematocrits were watched every 12 hours, but remains stable. on , the patient's hematocrit was 34.8. patient was discharged home. patient was instructed to followup with dr. to make decisions on further diagnostic tests and to consider scheduling either a capsule endoscopy or an angiogram. condition on discharge: stable. discharge status: she was discharged home. discharge instructions: her instructions were to return to the emergency department if she has any more bloody bowel movements, dizziness, shortness of breath, or weakness. she was instructed to followup with dr. for further evaluation either an angiogram or a capsule enteroscopy, and to followup with her primary care physician, . . final diagnosis: 1. gastrointestinal bleed. 2. anemia secondary to blood loss. discharge medications: 1. ferrous sulfate 325 mg once a day. 2. protonix 40 mg q12h. dr., 12-aeb dictated by: medquist36 procedure: other endoscopy of small intestine colonoscopy diagnoses: acute posthemorrhagic anemia asthma, unspecified type, unspecified depressive disorder, not elsewhere classified hemorrhage of gastrointestinal tract, unspecified unspecified gastritis and gastroduodenitis, without mention of hemorrhage degeneration of lumbar or lumbosacral intervertebral disc 

Answer: The patient is high likely exposed to