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Dr. Sherin Ibrahim Howett

Sleep Medicine
Millsboro, DE
20 years experience female

Locations

Office

Millsboro

Address

230 Mitchell Street Suite B, Millsboro
Directions

My office hours

Friday: 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 38-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
Ignore: Reduce caffeine, stretch regularly, keep limbs warm, iron supplement if needed, check thyroid.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
No: Trazadone does not kill brain cells. It was originally used as an antidepressant and found to have the benefit of treating sleep onset insomnia. If ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
Yes: As a primary care and sleep specialist, I see a lot of patient with sleep apnea. We use the Berlin Questionnaire to screen patients as well as the Ep... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
Call Doctor: You should seek medical care if you are in need of urgent assistance.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
Sleep Specialist: You should be seen and evaluated for Sleep Apnea. If you have clinical signs and symptoms, they will refer you to a sleep lab to be tested for sleep a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
Formal Evaluation: There is a strong possibility that the patient may have Sleep Apnea. Have then answer a Berlin Questionnaire to assess the possible likelihood. The ca... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
See your doctor: You may have a hormone deficiency. Likely testosterone, but you should get evaluated by a doctor to be sure. Have you been growing in terms of height?... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
Yes: Traveling across time zones can cause disruption. Regular travel can as well if it alters your normal routines and patterns. Try to be as consistent a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
SUNDS: Sudden unexpected death syndrome, or sudden unexpected nocturnal death syndrome (sunds), is sudden unexpected death of adolescents and adults during s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
Yes: Dry eyes can cause your vision to be blurry and not correct with glasses or contacts. Using re-wetting drops can be helpful as well as having plugs i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
Need details: You need to be a little more detailed as to what the problem is. What condition has been unmanageable?
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 years experience
Yes: Yes you can. There should not be any drug interaction between the 2 medications. Use Nyquil only as needed.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Sherin Ibrahim Howett
Sleep Medicine 20 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
Created for people with ongoing healthcare needs but benefits everyone.

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
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