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: no known allergies / adverse drug reactions attending: addendum: pt takes lactulose 60 ml four times a day. thanks discharge disposition: extended care facility: roscommon extended care center md, procedure: other endoscopy of small intestine diagnoses: alcoholic cirrhosis of liver portal hypertension hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified chronic kidney disease, stage iii (moderate) long-term (current) use of insulin awaiting organ transplant status hepatic encephalopathy esophagitis, unspecified esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum other and unspecified coagulation defects diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled epistaxis personal history of alcoholism aplastic anemia, unspecified other pancytopenia 

Answer: The patient is high likely exposed to