In India (the largest consumer of areca nut) and the rest of the Indian subcontinent, the preparation of nut with or without betel leaf is commonly referred to as "paan". It is available practically everywhere and is sold in ready-to-chew pouches called "pan masala" or "supari", as a mixture of many flavours whose primary base is areca nut crushed into small pieces. Poor people, who may eat only every other day, use it to stave off hunger pangs. "Pan masala" with a small quantity of tobacco is called "gutka". The easily discarded, small plastic "supari" or "gutka" pouches are a ubiquitous pollutant of the South Asian environment. Some of the liquid in the mouth is usually disposed of by spitting, producing bright red spots wherever the expectorate lands.