The disclosed device, method, and system provide a simple, safe, effective and widely applicable method-device to suction the throat in patients with absence or incompetent swallowing reflexes. For instance, disclosed is a combination enteric feeding and pharyngeal suctioning tube that both pumps food to a patients stomach while suctioning a patients throat to remove pharyngeal secretions. The suctioning tube may be an attachment to a feeding tube that terminates just at or above the esophageal opening when connected to the feeding tube. The end of the pharyngeal suctioning tube may include perforations that allow the pharyngeal secretions to be vacuumed into the suctioning portion for removal.