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: allergies: dilantin attending: chief complaint: bright red blood per rectum major surgical or invasive procedure: none history of present illness: 45 year-old female with history of cecal polypectomy on presenting with brbpr and lightheadedness. she underwent colonoscopy performed for change in bowel habis which demonstrated a large cecal polyp which was biopsied. the biopsy returned as adenoma, and thus she returned for endoscopic mucosal resection (emr) polypectomy on , where the procedure was performed without complication. an endoclip was placed to prevent bleeding. the pathology returned as adenoma without dysplasia or carcinoma. . she reported doing well since her procedure with some mild constipation and she took dulcolax once three days prior. she had minor left lower quadrant cramping yesterday, which has since resolved. today, she noted lightheadedness and presyncope, and had three large bloody bowel movements around 14:00. ems was called and noted sbp in the 90s from baseline 110-130s). . in the ed, vs t 98 bp 106/63 hr 83 rr 16 sao2 100%ra. her hematocrit was noted to be 33 from baseline 37 . she had bright red blood on rectal examination. she received 100 cc ns prior to transfer. . on admission to the micu, she denies lightheadedness, dizziness, chest pain, shortness of breath, palpitations, abdominal pain, nausea, vomiting. her last bloody bowel movement was at 15:00. past medical history: epilepsy depression migraines tobacco abuse chronic obstructive pulmonary disease status post tubal ligation social history: she is married with two children. tobacco use of two packs per day 30 years. occasional alcohol use, two drinks per month. denies drug use. family history: her mother had post-polypectomy bleeding. physical exam: general appearance: well nourished, no acute distress eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic lymphatic: cervical wnl cardiovascular: (s1: normal), (s2: normal), distant heart sounds peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: clear : ) abdominal: soft, non-tender, bowel sounds present extremities: right: absent, left: absent skin: warm neurologic: attentive, follows simple commands, responds to: not assessed, oriented (to): person, place, time, movement: purposeful, tone: normal pertinent results: 03:10pm blood wbc-9.2 rbc-3.71* hgb-11.2* hct-33.2* mcv-90 mch-30.3 mchc-33.8 rdw-13.2 plt ct-291 07:21pm blood hct-31.3* 01:42am blood wbc-9.4 rbc-3.04* hgb-9.5* hct-26.6* mcv-88 mch-31.2 mchc-35.6* rdw-13.3 plt ct-256 07:44am blood hct-34.8*# 02:14pm blood hct-32.6* . 03:10pm blood plt ct-291 05:39pm blood pt-12.7 ptt-22.4 inr(pt)-1.1 . 03:10pm blood glucose-149* urean-14 creat-0.8 na-136 k-4.3 cl-102 hco3-26 angap-12 01:42am blood glucose-90 urean-12 creat-0.6 na-135 k-3.9 cl-106 hco3-25 angap-8 01:42am blood calcium-8.4 phos-2.4* mg-2.1 . 03:10pm blood hcg-<5 brief hospital course: this is a 45 year-old female with history of cecal polypectomy presenting with bright red blood per rectum. . # bright red blood per rectum: initially admitted into the icu for monitoring, and called out to the floor on day of discharge. her brbpr was presumed due to delayed post-polypectomy bleeding from . also on the differential was diverticular bleed with diverticula noted on recent colonoscopy, although less likely. no free air on abdominal x-ray. no coagulopathy. she received two units prbc for hct drop to 26 from 33 on admission, with hct 32 at discharge. she did not have signs of active bleeding during the day on or on (day of discharge). colonoscopy was planned for based on poor prep for . the gasteroenterology service was consulted and followed her during her micu stay and thereafter. on the pt still was not adequately prepped despite mg citrate x2 and golytley, and given stable hct and no further gi bleeding, gi decided that colonoscopy was no longer necessary. the patient was instructed to avoid asa and nsaids for several weeks, and to return if she had any recurrent bleeding or dizziness. . # adenomatous polyp: the patient will require repeat colonoscopy in 1 year for follow up. . # epilepsy: continued gabapentin . # depression: continued venlafaxine and clonazepam prn . # tobacco abuse: given a nicotine patch. counseled on cessation at discharge. medications on admission: gabapentin 1600 mg venlafaxine 100 mg clonazepam 0.5 mg :prn anxiety trazodone 50 mg qhs:prn insomnia cyclobenzaprine 10 mg qhs:prn spasm discharge medications: 1. gabapentin 400 mg capsule sig: four (4) capsule po bid (2 times a day). 2. venlafaxine 100 mg tablet sig: one (1) tablet po bid (2 times a day). 3. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety. 4. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. discharge disposition: home discharge diagnosis: lower gastrointestinal bleeding discharge condition: stable, hematocrit stable discharge instructions: you were admitted with complaints of rectal bleeding. this was thought to be due to the polypectomy that was done on . you required 2 units of blood while you were in the intensive care unit. your bleeding has stopped. you should avoid aspirin, ibuprofen, motrin, and aleve for the next 2-3 weeks as these can increase risk of bleeding. you should eat clears and soft solids for the next day (ie soups, jello, yogurt, mashed potatoes), and then advance as tolerated to a regular diet. . you will need a repeat colonoscopy in 1 year, given that you had a large adenomatous polyp. . you should try to quit smoking as tobacco is harmful to your lungs and can cause lung cancer. you can talk to your primary care doctor more about this. . call your doctor or return to the er for recurrent rectal bleeding, lightheadedness, dizziness, fainting, abdominal pain, or any other concerning symptoms. followup instructions: please follow up with your primary care doctor, dr. , on monday at 11:30 am. he is located in the building, atrium suite, , . please call if you need to cancel or reschedule this appointment. procedure: transfusion of packed cells diagnoses: tobacco use disorder acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified constipation, unspecified hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure disorders of phosphorus metabolism blood in stool epilepsy, unspecified, without mention of intractable epilepsy migraine, unspecified, without mention of intractable migraine without mention of status migrainosus diverticulosis of colon (without mention of hemorrhage) orthostatic hypotension 

Answer: The patient is high likely exposed to