U.S. doctors online nowAsk doctors free

Dr. Sherin Ibrahim Howett

Sleep Medicine
Millsboro, DE
19 years experience female

Locations

Office

Millsboro

Address

230 Mitchell Street Suite B, Millsboro
Directions

My office hours

Wednesday: 8:00am - 5:00pm
Show more

Insurances accepted

Aetna

AmeriHealth

CareFirst Blue Cross Blue Shield

Cigna

CoreSource

Coventry Health Care

Empire Blue Cross Blue Shield

Highmark Blue Cross Blue Shield

Medicaid

Medicare

Oxford Health Plans

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Sleep Medicine

Critical Care

Internal Medicine

Languages spoken

Arabic

Doctor Q&A

98 Answers
42 Agrees
The number of answers this doctor has agreed with.
A 32-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Possible: Sleep apnea is treatable and in some cases can be cured. If the sleep apnea is related to obesity, then significant weight loss can lead to a cure. Fo... Read More
A 36-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Melatonin: I do not use sleeping pills in my practice. I recommend use of Melatonin to help train the brain. You take it at the same time every night to enhance ... Read More
A 29-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Need details: You need to be a little more detailed as to what the problem is. What condition has been unmanageable?
A 38-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
It Can: Untreated obstructive sleep apnea increases the risk of arrhythmias such as atrial fibrillation. The stress of the irregular breathing and hypoxia (lo... Read More
A 37-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Mixed Signal: When you feel like you're falling, it's usually as you are starting to fall asleep. The brain incorrectly interprets the relaxation of your muscles as... Read More
A 35-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Possibly: Snoring is a warning sign that sleep apnea may be present. Other complaints include awakening gasping/choking for air, dry mouth/sore throat, urinatin... Read More
A 43-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Some helpful hints: There are things that can be done to help lessen symptoms and depending on severity, may eliminate them. Weight loss, avoidance of sedating chemicals... Read More
A 28-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Tracking tool: A sleep diary is a way to chart your sleep patterns and related events such as exercise, naps, caffeine, tobacco and alcohol use. The timing of these ... Read More
A 17-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Advise against it: In general narcotics, benzos or any sedating medications will worsen sleep apnea as it suppresses breathing. Unless you're in a controlled and monitor... Read More
A 35-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Yes: The gold standard is a overnight sleep study in a lab. There are now approved home study devices that are approved for use. They do not collect as muc... Read More
A 34-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Yes: Almost all antidepressant suppress rem sleep with the exception of 3. Rem is the stage of sleep where dreaming occurs. It's also the stage of sleep ... Read More
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
It Depends....: "sleeping pills" can be used for sleep onset and sleep maintenance insomnia. This can be caused by bad sleep hygiene, which are habits that tend to p... Read More
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Insufficient Sleep: Sleep quantity and quality are the main factors that effect feeling fatigued. Different sleep disorders exist that contribute to a lack of quality sle... Read More
A 33-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Talk to your Doctor: You can start by talking with your Primary Care about getting tested for possible Sleep Apnea. Usually a hospital will have the ability to do the test... Read More
A 27-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Depends: It depends. Some people feel an immediate effect, others take time. It does depend on how severe the apnea is too. Continue to use CPAP and follow up... Read More
A 25-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Let the doc know: You always want to let your doctors know if you have sleep apnea. Sedating medications can have an effect on the degree of apnea you have. Also, anest... Read More
A 37-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Some helpful hints: There are things that can be done to help lessen symptoms and depending on severity, may eliminate them. Weight loss, avoidance of sedating chemicals... Read More
A 29-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Temporarily: Taking otc meds and even prescription pills are ok for a short term basis. Insomnia is often a multifaceted issue that needs proper evaluation and tre... Read More
A 32-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
A few rule out tests: I would suggest keeping a sleep diary of how much sleep you get for 2 weeks, repeating the sleep study with your CPAP on then performing a mwt (mainte... Read More
A member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Depends on Cause: Central sleep apnea can be caused by heart failure or sedating properties of medications. That needs to be evaluated and addressed first. Other have n... Read More
A 38-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
It depends: Treatment depends on the cause. Orthostatic hypotention can be caused by dehydration, medication(s) side effect, blood loss, infection or heart diseas... Read More
A member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Treat the apnea: Chest pain from sleep apnea occurs because of drop in oxygen level which strains the heart, an arrhythmia or just lack of breathing. If you're being t... Read More
A 45-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Yes: Sleep apnea can result from anatomic obstruction in the nose (deviated septum, swollen turbinates, sinusitis, etc) or over relaxation of the smooth mu... Read More
A 34-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Yes: Yes, it can have an effect on your circadian rhythm. Obviously the more you smoke and the larger the quantity, the more the effect. Some studies showe... Read More
A 46-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Possible: Sleep apnea is treatable and in some cases can be cured. If the sleep apnea is related to obesity, then significant weight loss can lead to a cure. Fo... Read More
A 46-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Depends on details: It depends on what you mean by comfort. Most people are not aware they are having sleep apnea events. If they are being treated for osa, follow-up wi... Read More
A 48-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Some helpful hints: There are things that can be done to help lessen symptoms and depending on severity, may eliminate them. Weight loss, avoidance of sedating chemicals... Read More
A 49-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Some helpful hints: There are things that can be done to help lessen symptoms and depending on severity, may eliminate them. Weight loss, avoidance of sedating chemicals... Read More
A 53-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
True Cause: Sleeping pills are not the answer for most people. The underlying cause of your insomnia needs to be evaluated. Most often improper sleep hygiene is a... Read More
A 33-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Control Sympotms: The best you can do is try to treat your cold symptoms to be more comfortable. Using a heated humidifier can help keep your airway open, Vicks vapors ... Read More
A 20-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Usually, No: Breath right strips only benefits patients who have sleep apnea as a result of their nostrils collapsing while breathing. Only a very small number of ... Read More
A 37-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Ignore: Good sleep hygiene, same bedtime & rise time daily, no watching TV in bed, no electronics at night.
A 41-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Yes: Yes you can. There should not be any drug interaction between the 2 medications. Use Nyquil only as needed.
A 41-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Yes: Sleep apnea is a chronic medical condition. It is treatable and in some cases can be cured. If the sleep apnea is related to obesity, then significan... Read More
A 32-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Obesity #1: The risk of osa rises with increasing body weight (obesity), active smoking and age. Individuals with low muscle tone and soft tissue around the airwa... Read More
A 24-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
No: In general narcotics or any sedating medications will worsen sleep apnea as it suppresses breathing. Unless you're in a controlled and monitored sett... Read More
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
No: Both lack of sleep and anemia can lead to feeling tired and fatigued. Anemia is caused by either blood loss, cell destruction or insufficient producti... Read More
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
No: Comfort is the main focus. You want to be in a position where your muscles and mind can relax to help you fall off to sleep. Some medical problems or ... Read More
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
No: Only patients that have cirrhosis need regular ultrasound screening to monitor for the development of liver cancer. These screenings are usually twic... Read More
A 23-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Never take together: It's never a good idea to take sleeping pills with alcohol. They both cause sedation and can effect your breathing at night. Alcohol close to bedtime ... Read More
A 53-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Possibly: Snoring is a warning sign that sleep apnea may be present. Other complaints include awakening gasping/choking for air, dry mouth/sore throat, urinatin... Read More
A 25-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
No: Vomiting is not a typical symptom of sleep apnea. The gasping or choking sensation that's mentioned is from air hunger and not from anything that has ... Read More
A 34-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
No: In general narcotics or any sedating medications will worsen sleep apnea as it suppresses breathing. Unless you're in a controlled and monitored sett... Read More
A 38-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Yes: Sleep apnea can result from anatomic obstruction in the nose (deviated septum, swollen turbinates, sinusitis, etc) or over relaxation of the smooth mu... Read More
A 44-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Different Factors: It depends on what causes you to only get 5 hours. Are you going to be late or just waking up early? Is there anything in your environment that's caus... Read More
A 28-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Heart is ok: From what you've described, it sounds like everything is going well. If you develop cardiac symptoms than seek medical care immediately.
A 19-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Yes: An infection in the sinus can have a wide effect on how you feel and cause all the symptoms listed above. I would schedule an appointment with your do... Read More
A 18-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Call Doctor: You should seek medical care if you are in need of urgent assistance.
A 33-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Sleep Hygiene: Proper sleep hygiene habits which include set bedtimes and rise time, avoidance of alcohol, tobacco or caffeine within 5 hours of bedtime, no watching... Read More
A 18-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 19 years experience
Caution: Sleeping pills can be a very tricky thing so you need to be cautious while on an antidepressant. If you're having trouble sleeping, talk to your pres... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.

Ask doctors free
Answer emailed
in 24 hours or less

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

5
Recommendations
304
Thank you notes
Dr. Philip Miller
Nov 25, 2014
I highly endorse Dr. Sherin Ibrahim Howett as an expert physician on HealthTap and HealthTap Prime. Her clinical insights are astute and educational. She is an asset to the HealthTap community.
Dr. Rex Mahnensmith
Nov 21, 2014
I am very pleased to recommend Dr. Hobert as a Top Doctor in her chosen field in sleep medicine and pulmonary disorders. She is an excellent colleague to network with.
Nov 28, 2014
Great answers. Thanks
HealthTap member
Thank you! Was curious because the rash I had on my chest didn't show up this winter. It typically reappears every year in the winter and has my doctors stumped. This is the first year I've been on CP...Read More
HealthTap member
Thank you, your answer or tip was very helpful!
HealthTap member
Thank you, your answer or tip was very helpful!

Education & Training

Medical/Graduate school

New York Institute of Technology New York College of Osteopathic Medicine, NY
Graduated 2003MD

Residency

MORRISTOWN MEMORIAL HOSPITAL

Awards

Thought Leader, Third Place, Delaware - Summer
2013
Top General Internist, First Place, Delaware - Summer
2013
Top Sleep Medicine Specialist, First Place, National - Fall
2014
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less