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BACKGROUND AND OBJECTIVES Oral Nicotine Pouches (NPs) are one of the fastest-growing products among young adults, being actively marketed by companies through catchy advertisements. Owing to the easy availability and concealed usage, there is a high chance that these could become an addiction very soon. The objective of our study was to assess the prevalence of Nicotine Pouch consumption and its association with the perceived stress of an individual being a reason behind its usage. METHODS A cross-sectional study was conducted at various universities in Karachi, Pakistan. The study population comprised Undergraduate students aged between 18 and 25. Data were collected through self-administered forms. RESULTS The majority of the participants lied in the 20–21 age group and belonged to a medical field of study. 61.8% of the students were aware of this product, however, only 10.2% were active users of the Oral NPs. Moreover, the PSS scores indicated that females were overall more stressed than males. The mean PSS score was 19.637. CONCLUSION In conclusion, it is the need of the hour to raise awareness for such products as the youth is likely to try Oral NPs while being unaware of the potential harm it could bring with long-term use. Undergraduates must also be given guidance to help them cope with stress, which proves to be a significant risk factor associated with addiction to nicotine-containing products.

Budd-Chiari syndrome (BCS) is an uncommon vascular disorder in which venous thrombosis prevents the venous outflow of the liver. The obstruction is primarily at the level of hepatic veins and inferior vena cava.Here, we present a case of a two-and-a-half-year-old male child who presented with complaints of abdominal distension for two months and fever and watery diarrhea for one month. Physical examination showed the patient was anemic with palmar erythema. He was started on an empirical treatment of cefotaxime, metronidazole, and amikacin. Sensitivity and culture reports for blood and urine samples were negative, but abdominal computed tomography (CT) scan showed characteristic findings for BCS with caudate lobe hypertrophy. After the symptomatic treatment of the patient, a liver transplant was suggested as a last resort.