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: naproxen attending: chief complaint: melena major surgical or invasive procedure: esophagogastroduodenoscopy history of present illness: 81f cad s/p "silent mi", here w/ melena after course of nsaids. usoh until three days prior to admission, developed melena, weakness, gnawing discomfort in epigastrium, no cp, sob. guaiac pos in pcp office and sent to ed. found to have decrease in hct to 31.5 from baseline ~37. given iv protonix and brought to unit for egd, which revealed gastritis, shallow ulcer, but no active bleeding. recommended iv ppi , hct while in house, npo overnight, then f/u scope in two months while on ppi. past medical history: htn hyperlipidemia cad s/p "silent mi" osteoarthritis social history: occasional alcohol. does not smoke. independent adls. family history: nc physical exam: vs 67 118/45 16 98%2l general: nad sleepy after scope heent: eomi, ommm neck: supple, no lad cardiovascular: s1, s2, reg, i/vi systolic, no rg lungs: ctab abdomen: soft, nt, nd, active bowel sounds. extremities: warm, no cce neuro: sleepy, but arousable pertinent results: 11:57pm hct-25.8* 07:15pm hct-27.7* 04:50pm urine color-straw appear-clear sp -1.010 04:50pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-tr 04:50pm urine rbc-0 wbc- bacteria-mod yeast-none epi- 02:15pm glucose-106* urea n-15 creat-0.8 sodium-140 potassium-4.2 chloride-103 total co2-27 anion gap-14 02:15pm calcium-9.9 phosphate-3.7 magnesium-2.2 02:15pm wbc-6.6 rbc-3.30* hgb-11.2* hct-31.5* mcv-96 mch-34.0* mchc-35.6* rdw-13.5 02:15pm neuts-64.9 lymphs-28.4 monos-4.8 eos-1.6 basos-0.3 02:15pm macrocyt-1+ 02:15pm plt count-269 02:15pm pt-11.6 ptt-21.3* inr(pt)-1.0 egd: small hiatal hernia ulcer in the stomach body and antrum erythema, friability, congestion and erosion in the antrum and stomach body compatible with erosive gastritis erythema, friability and congestion in the proximal bulb brief hospital course: 81f with erosive gastritis likely nsaids. * gastritis: noted to have shallow nonbleeding ulcers by egd, continued on ppi . initially found to have continued hct drop overnight, and as such was kept in icu for further observation. transfused two units, and bumped appropriately. no further episodes of melena, and tolerated po diet with no difficulty. counseled to avoid nsaids, however, allowed to continue taking asa for presumed secondary prevention of cad. * cad: n tachycardia or demand ischemia noted during this admission. * fen: npo initially, then soft diet in am following scope. discharged to home following observation and transfusion. to return in weeks for followup endoscopy. medications on admission: atenolol 12.5 lipitor 80 lisinopril 10 asa 325 ibuprofen discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 2. lipitor 80 mg tablet sig: one (1) tablet po once a day. 3. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 4. atenolol oral 5. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. discharge disposition: home discharge diagnosis: gastritis melena blood loss anemia discharge condition: patient had stable hct at discharge. no further bleeding or melena. discharge instructions: please take your medications as prescribed. please do not take any ibuprofen (advil or motrin). you may still take tylenol for pain. . please call your doctor or return to the er if you have chest pain, shortness of breath, dizziness, black stools or bloody stools, blood when you vomit or have other concerning symptoms. followup instructions: you should follow-up to have an endoscopy in 6 weeks. . you should follow-up with your primary care doctor, dr. , in weeks. his phone number is . procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia other and unspecified hyperlipidemia unspecified analgesic and antipyretic causing adverse effects in therapeutic use other specified gastritis, with hemorrhage 

Answer: The patient is high likely exposed to