betel quid with tobacco
(BEE-til kwid … tuh-BA-koh)
A type of
          smokeless tobacco that is made in India and is widely used
          throughout Asia. It is a mixture of tobacco, crushed areca
          nut (also called betel nut), spices, and other ingredients.
          It is used like chewing tobacco and is placed in the mouth,
          usually between the gum and cheek.
          Betel quid with tobacco contains
          nicotine and many harmful, cancer-causing chemicals. Using
          it can lead to nicotine addiction and can cause cancers of
          the lip, mouth, tongue, throat, and
          esophagus. Also called gutka.