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Follow these steps based on severity: For mild reactions (low-strength pouches): Drink 1-2 glasses of water Eat a small snack to settle your stomach Rest for 30-60 minutes until symptoms pass For moderate reactions (medium-strength pouches): Drink 2-3 glasses of water Sit or lie down in a comfortable position Monitor symptoms for up to 2 hours Contact poison control if symptoms worsen For severe reactions (high-strength pouches): Call poison control: 1-800-222-1222 (US) Do not induce vomiting unless directed by professionals Have someone stay with you to monitor symptoms Seek emergency care if experiencing a rapid heartbeat, confusion, or severe vomiting Why People Accidentally Swallow Nicotine Pouches Many ZYN and nicotine pouch users accidentally swallow their pouches in these common scenarios: Falling asleep with a pouch in your mouth Drinking beverages and forgetting about the pouch Pouch shifting position during talking or yawning New user inexperience with proper placement Multiple pouches make it hard to track each one Understanding how these accidents happen helps prevent future occurrences

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Marys County adults (Figure 1)

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