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: the patient is a -year-old male, with past medical history significant for hypertension, bph and chronic diarrhea, who presents to the emergency room on the day of admission with coffee ground emesis. the patient was in his usual state of health until the night prior to admission. reports one episode of vomiting after dinner with undigested food, nonbloody. no nausea or abdominal pain. on the morning of admission, the patient had two episodes of vomiting with flecks of bright red blood followed by an episode of coffee ground emesis. the patient then presented to the emergency room. last bowel movement approximately 1-2 days ago with no bright red blood or melena. on arrival to the emergency room, the patient had a blood pressure of 164/60, pulse 80, complained of mild epigastric discomfort, otherwise no abdominal pain, denied lightheadedness, dizziness, chest pain, shortness of breath or palpitations. the patient was given protonix 40 iv and 500 cc normal saline iv bolus, and transferred to the intensive care unit for urgent endoscopy. admission labs: hematocrit 38.7, platelets 253, and pt and aptt were wnl. the patient is on an aspirin 81 mg po qd for primary prevention of coronary artery disease. endoscopy revealed medium-sized hiatal hernia displacing the z-line to 37 cm from the incisors with hiatal hernia narrowing at 40 cm. a 1.5 cm lesion was visualized in the proximal stomach approximately 1 cm distal to the ge junction. adherent clot was suggestive of recent bleeding. differential diagnosis of this lesion included ulcer versus malignancy. this clot was not washed, and no biopsy was taken. there were no signs of active bleeding. the patient remained hemodynamically stable. ekg showed no ischemic changes. the patient was admitted to the micu for hemodynamic monitoring. past medical history: 1. bph. 2. history of bladder cancer, . 3. hypertension. 4. history of nasal polyps, status post right maxillary antrectomy. 5. degenerative joint disease. 6. history of tia. medications on admission: 1. aspirin 81 mg po qd. 2. flomax 0.4 mg po qd. 3. proscar 5 mg po qd. 4. zestoretic 20/12.5 po qd. 5. tylenol with codeine prn for diarrhea. allergies: no known drug allergies. social history: the patient is widowed, lives alone in , has 2 children, history of tobacco, quit in , occasional alcohol, does all adl independently. next of is , m.d. (former surgeon). physical exam on admission - general: the patient was alert and oriented, awake, well nourished, in no respiratory distress. heent: extraocular muscles intact, anicteric sclerae. oropharynx with dry mucous membranes. cardiovascular: regular rate with no murmurs, rubs or gallops. lungs: decreased breath sounds at the right base, otherwise clear to auscultation. abdomen: soft, nontender, nondistended with normal bowel sounds. extremities: no edema. significant admission labs: hematocrit 38.7, platelets 253, inr 1.2, ptt 29, bun 32, creatinine 1.2. chest x-ray: moderate cardiomegaly without evidence of congestive heart failure. ekg: normal sinus rhythm, normal intervals q and 3. otherwise, no acute ischemic changes. echo, : normal lv systolic function, no wall motion abnormalities, 2+ mr. assessment: the patient is a -year-old male, with past medical history of hypertension and bph, who presented to the emergency room with coffee ground emesis. the patient remained hemodynamically stable and did not require any transfusions. an endoscopy was done which revealed a lesion at the ge junction with fresh clot and likely etiology of bleeding. the patient was on aspirin 81 mg qd for primary prevention of heart disease. otherwise, no other nsaid use. differential diagnosis of the lesion included ulcer versus malignancy. hospital course: on admission to the icu, the patient remained hemodynamically stable. hematocrits were checked q 8 h. repeat hematocrit from admission was down at 32, but remained stable for the following 48 hours. the patient did not require any prbc transfusions. the patient was started on protonix iv. aspirin use was discontinued. at discharge, the patient's aspirin was discontinued. he was discharged on protonix 40 mg po qd and iron sulfate 325 mg po bid. a follow-up endoscopy will be scheduled in 1 week to biopsy the lesion at the ge junction to rule out malignancy. discharge condition: stable. discharge status: the patient was discharged to home. discharge instructions: 1. discontinue aspirin. 2. will start on protonix 40 mg qd and iron supplementation. 3. follow-up endoscopy in 1 week with dr. in department of gastroenterology. medications on discharge: 1. flomax 0.4 mg po qd. 2. proscar 5 mg po qd. 3. zestoretic 20/12.5 po qd. 4. protonix 40 mg po qd. 5. iron sulfate 325 po bid. , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine diagnoses: unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) diaphragmatic hernia without mention of obstruction or gangrene hemorrhage of gastrointestinal tract, unspecified other specified disorders of stomach and duodenum 

Answer: The patient is high likely exposed to