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Our reference lab may need additional time due to weather, holidays, confirmation/repeat testing, or equipment maintenance. The quantitative allergen-specific IgE test is indicated (1) to determine whether an individual has elevated allergen-specific IgE antibodies; (2) if specific allergic sensitivity is needed to allow immunotherapy to be initiated; (3) when testing individuals for agents that may potentially cause anaphylaxis; (4) when evaluating individuals who are taking medication (eg, long-acting antihistamines) that may interfere with other testing modalities (eg, skin testing); (5) if immunotherapy or other therapeutic measures based on skin testing results have not led to a satisfactory remission of symptoms; (6) when an individual is unresponsive to medical management where identification of offending allergens may be beneficial. The Respiratory Allergy Test measures a person's reactions to allergens in a particular area. labcorp allergy zones - wytprod.com PDF TEST MENU - Time of Care (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Although these allergies may appear to be hereditary, whether . Directory of Labcorp locations. May include related or preferred tests. Up to 65 tree, weed, and grass antigens. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. This laboratory test is available in 4 online lab test stores. IgE testing is not considered sufficient to diagnose an allergy on its own.2 Although measurement of allergen-specific IgE can enhance the evaluation of potential allergies, other factors will help tell the full story. This test looks for IgE antibodies to allergenswhich are common inOklahoma andTexas. Respiratory Allergy Panel Region 3 - Request A Test Respiratory Allergy Panel Region 8 - Request A Test For an exact turnaround time for Quest results, please contact us at Personalabs and we will contact the lab on . Individuals who are allergic to proteins in specific foods develop IgE (immunoglobulin E) antibodies to those food proteins. This allergy test looks at your bodys immune response to common allergens found outside and inside your home that are known to trigger allergic reactions. An allergy blood test checks for antibodies called immunoglobulin E (IgE) in your blood. Respiratory Allergen Panel Region 2 Blood Test - Request A Test Whether its a tickle in your throat, itchy, watery eyes, or you cant stop sneezingallergies could be to blame. Quest. Solar noon: 11:51AM. IgE is a protective blood protein that is produced when youre exposed to a substance that your body views as a threat. Order Loinc. This test looks for IgE antibodies to allergens which are common in Southern California (coastal area). Pinpoint the source of common allergies in children. Portnoy, J. Runny nose and nasal congestion. The quantitative allergen-specific IgE test is indicated (1) to determine whether an individual has elevated allergen-specific IgE antibodies; (2) if specific allergic sensitivity is needed to allow immunotherapy to be initiated; (3) when testing individuals for agents that may potentially cause anaphylaxis; (4) when evaluating individuals who . Our food allergy blood test measures your immune response to some of the most common foods known to trigger an allergic reaction. Find store hours, services, phone numbers, and more. Learn how a single blood test can save time and provide actionable results. Learn how allergy testing from a small blood sample can help identify the cause of your symptoms so you and your primary care provider can better manage your health and relieve your symptoms. Immunoassay (IA) Alternative Name(s) ImmunoCAP LOINC Codes . "Guidelines for the Diagnosis and Management of Food Allergy in the United States: Report of the NIAID-Sponsored Expert Panel." Normmaly IgG1 makes up about 65% of total IgG with IgG2 making up about 25%.Food allergens are prevalent in the. Catalog image. Find out how you react to the most common seasonal and year-round allergens. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. This test looks for IgE antibodies to allergens which are common in Florida (south of Orlando). Find a local Labcorp near you for Laboratory Testing, Drug Testing, and Routine Labwork. 2010; 126:S1-58. Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Testing schedules may vary. Allen-Ramney F, Schoenwetter W, Weiss T, et al. Normal range/expected value(s) for a specific disease state. Additional Allergy Panels for other regions of the United States are available in our Allergy Testing Category. Respiratory Allergy Panel Region 2 Blood Test (Labcorp) The Respiratory Allergy Test measures a person's reactions to allergens in a particular area. Apply for jobs in North America. All Rights Reserved. Allergen, Region 11 Respiratory Panel IgE, Rocky Mountain - ARUP Lab Testing schedules may vary. Results from a single blood sample, along with an exam and medical history, can help healthcare providers establish an accurate diagnosis and create a treatment plan. Administer under the tongue. (2018). 2. It may not be something you consider often but the geography of your home can greatly affect your health. Additional information related to the test. 2023 Laboratory Corporation of America Holdings. Order Code Name. American College of Allergy, Asthma, and Immunology. Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for You will need to visit a local lab for testing. Ordering Restrictions may apply. 602456. IgE allergy testing for: Alternaria alternata (a mold) (m6) Aspergillus fumigatus (m3) Bermuda grass (g2) Birch (t3) Cat dander (e1) Cladosporium herbarum (m2) Cockroach (i6) Common ragweed (short) (w1) Cottonwood (t14) Dermatophagoides farinae (d2) Dermatophagoides pteronyssinus (d1) Dog dander (e5) Allergen, Region 4 Respiratory Panel IgE, Subtropic Florida (S. of Recommendations when to order or not order the test. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. . Click here for your pricing. IgE is a protective blood protein that is produced when youre exposed to a substance that your body views as a threat. The correlation of allergy laboratory results with clinical history and in vivo reactivity to specific allergens is essential. 19 Mar 2019. Symptoms of Indoor and Outdoor Allergies. provider letter to terminate insurance contract . This test looks for IgE antibodies to allergens which are common in Delaware, Washington DC, Maryland, North Carolina and Virginia. The quantitative allergen-specific IgE test is indicated (1) to determine whether an individual has elevated allergen-specific IgE antibodies; (2) if specific allergic sensitivity is needed to allow immunotherapy to be initiated; (3) when testing individuals for agents that may potentially cause anaphylaxis; (4) when evaluating individuals who are taking medication (eg, long-acting antihistamines) that may interfere with other testing modalities (eg, skin testing); (5) if immunotherapy or other therapeutic measures based on skin testing results have not led to a satisfactory remission of symptoms; (6) when an individual is unresponsive to medical management where identification of offending allergens may be beneficial. Pet Allergy. Mayo Clinic, Mayo Foundation for Medical Education and Research. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. 2003; (4) 312-318. Turnaround for this test is . Allergen Profile With Total IgE, RespiratoryArea 2 - Labcorp https://acaai.org/news/facts-statistics/allergies Accessed 27 June 2022. Allergen testing for patients in the north Atlantic region (Connecticut, Massachusetts, New Jersey, Vermont, Maine, New Hampshire, and Rhode Island). Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. allowed for additional confirmatory or additional reflex tests. labcorp allergy zones - nodelivery.fun The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. 5 Jan 2018. https://www.aaaai.org/Tools-for-the-Public/Allergy,-Asthma-Immunology-Glossary/Immunoglobulin-E-(IgE)-Defined Accessed 27 June 2022. Respiratory Allergy Blood Panel Region 4 - Request A Test Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. Antibodies are proteins your immune system produced in response to harmful substances such as viruses or bacteria. The Respiratory Allergy Test measures a person's reactions to allergens in a particular area. Sunset: 05:58PM. Sometimes, however, it can happen a half-hour or longer after exposure. An independent physician will review and approve your test requests; no doctors visit is required. Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. Serum Separator Tube (SST). Learn how you can get the answers you need through allergy testing to feel more informed and empowered with your health. M001-IgE Penicillium chrysogen. Allergy Testing: Labcorp Allergy Testing Zones | Time of Care Note: Result turn around times are an estimate and are not guaranteed. Detect possible allergic responses to various substances in the environment (see Test Includes) and evaluate for hay fever, asthma, atopic eczema, and respiratory allergy. Signs and symptoms include:6. Indoor allergies, in the workplace or in school, may cause year-round symptoms, which may get worse with environmental or seasonal allergies. Jobs in North America | Labcorp In general, higher IgE levels are associated with a greater chance of having a true allergy but do not predict how severe your allergic symptoms could be.1. 602643. Certain foods or ingredients. Researchers estimate that 32million Americans may suffer from food allergies.4 Knowing what is causing your symptoms can give you daily relief. Allergies affect more than 50 million people in the U.S. each year and are the sixth leading cause of chronic illness in the U.S.1. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. The codes reflect our interpretation of CPT coding requirements based upon AMA guidelines published annually. Sometimes, however, it can happen a half-hour or longer after exposure. Your clinical history, age, and the presence of other conditions (such as atopic dermatitis) should be discussed with a healthcare professional before making an allergy diagnosis. Allergen Profile With Total IgE, RespiratoryArea 5 test cost max is in Health Testing Centers (Respiratory Allergy Profile Region 05) with price $1469.00. UofM. Additional Allergy Panels for other regions of the United States are available in our Allergy Testing . print. 82785, 86003 (x22) CPT Code is subject to a Medicare Limited Coverage Policy and may require a signed ABN when ordering. Are you an ARUP Client? 2018-2022 Laboratory Corporation of America Holdings. Day length: 12h 15m. E005-IgE Dog Dander. Take the requisition number we emailed you, along with a photo ID, to a Labcorp location for sample collection. labcorp allergy zones. Regional Allergen Zone 2: Environmental Allergy Testing - Walk-In Lab Signs and symptoms include: 6. Turnaround for this test is typically 5-8 . Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. (Min: 1.4 mL) Serum Separator Tube (SST). 2009, 2010, 2012, 2015, 2016, 2017, 2018, 2019, 2021 & 2022, National Leader in Affordable Direct to Consumer Lab Testing, Respiratory Allergy Blood Panel Region 4 (Labcorp), Immunoglobulin Antibodies IgA, IgE, IgM, IgG, Quantitative, Parrot, Parakeet, and Budgerigar Feather Allergy, Australian pine (Causarina equisetifolia) (t73), Common ragweed (short; Ambrosia elatior) (w1), Mountain cedar (Juniperus sabinoides) (t6), Rough pigweed (Amaranthus retroflexus) (w14). Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Indoor & Outdoor Allergy Package. The Respiratory Allergy Test measures a person's reactions to allergens in a particular area. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for For more information, please view the literature below. Additional Allergy Panels for other regions of the United States are available in our Allergy Testing Category. Detect possible allergic responses to various substances in the environment (see Test Includes) and evaluate for hay fever, asthma, atopic eczema, and respiratory allergy. Synonyms. Were committed to making allergies easier to understand. https://acaai.org/news/facts-statistics/allergies, https://www.aaaai.org/Tools-for-the-Public/Allergy,-Asthma-Immunology-Glossary/Immunoglobulin-E-(IgE)-Defined, Federally Qualified Health Centers (FQHCs), General Inquiry Contact Info for Providers, Combatting Modern Slavery and Human Trafficking Statement, Bring relief to allergy sufferers with an accurate diagnosis, Provide more value to patients with allergy testing, Learn how your body reacts to common allergens, Overreact and produce IgE antibodies that travel to cells in the body, such as cells in the skin, throat, nose or lungs, Release chemicals in the body that cause an allergic reaction, producing mild or severe allergy symptoms. Allergy Services: Identify and Manage Patients With Allergic Disease. For more information, please view the literature below. regional allergy respiratory areas LabCorp's policy is to provide physicians, in each instance, with the flexibility to choose appropriate tests to assure that the convenience of ordering test combinations/profiles does not prevent physicians who wish to order a test combination/profile from making deliberate Weve simplified allergy testingfor healthcare providers and patientsto deliver clear answers that inform allergy management strategies and help improve the quality of life for patients. Mowing Down Your Grass Allergies | AAAAI. The American Academy of Allergy, Asthma & Immunology. Respiratory Allergy Blood Panel Region 4 (Labcorp) The Respiratory Allergy Test measures a person's reactions to allergens in a particular area. Our reference lab may need additional time due to weather, holidays, confirmation/repeat testing, or equipment maintenance. All Rights Reserved. Short Description. Check ourlab finderto locate a collection site in your area. The quantitative allergen-specific IgE test is indicated (1) to determine whether an individual has elevated allergen-specific IgE antibodies; (2) if specific allergic . Common symptoms are:5, Anaphylaxis is one of the most serious indications of a food allergy and can be life-threatening. Skin irritation, rashes, swelling or hives may be related to an allergy. Allergens, Respiratory IgE Panel, Region 1, North Atlantic - ARUP Lab Allergen, Region 13 Respiratory Panel IgE, Southern Coastal (CA) Promote a healthy immune system. J Allergy Clin Immunol. Additional Allergy Panels for other regions of the United States . Visit a select Labcorp location to collect your sample same day if you are . Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules, Area 16: Central and Eastern Washington, Oregon, Alternaria alternata; Aspergillus fumigatus; cat dander; cedar, mountain; Cladosporium herbarum; cockroach, German; common silver birch; cottonwood; Dermatophagoides farinae; Dermatophagoides pteronyssinus; dog dander; elm, American; grey alder; maple/box elder; mouse urine; mugwort; oak, white; Penicillium chrysogen; pigweed, rough; sheep sorrel; thistle, Russian; timothy. 9 Jan 18. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. The PDF with more details can be found here: LabCorp allergy testing zones. Additional Allergy Panels for other regions of the United States are available in our Allergy Testing Category. Testing schedules may vary. Based on their structure, the 4 IgG Author: Nicole M. it Does LabCorp test LabCorp - Find. Allergy Facts. American College of Allergy, Asthma & Immunology. Allergen Profile With Total IgE, RespiratoryArea 11 - Labcorp Were here to help you recognize undiagnosed allergies in your patients and distinguish allergy symptoms from other conditions with specific IgE blood testing. Respiratory Allergy Panel Region 13 - Request A Test allowed for additional confirmatory or additional reflex tests. (Min: 1.3 mL). Please provide to confirm Test Code for the lab that . Allergen testing for patients in the mid-Atlantic region (Delaware, Maryland, Virginia, District of Columbia, North Carolina). Mon-Thurs 8am-8pm ET Fri 8am-6pm ET Sat 9am-1pm ET Sun Closed, Other Allergy, Sensitivity and Intolerance Tests. This test looks for IgE antibodies to allergens which are common in Illinois, Iowa, and Missouri . (Press Enter or Space to Go to Landing Page or Press Down to expand Menu). In some cases, additional time should be Itchy nose, the roof of the mouth, or throat. allowed for additional confirmatory or additional reflex tests. Your clinical history, age, and the presence of other conditions (such as atopic dermatitis) should be discussed with a healthcare professional before making a diagnosis or removing foods from your diet. Allergy & asthma | Quest Diagnostics (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. For more information, please view the literature below. The Respiratory Allergy Test measures a person's reactions to allergens in a particular area. Multiple specimen tubes should be avoided. About 5% of adults and 8% of children in America currently suffer from food-related allergies. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Food allergens are prevalent in the United States. An allergen-specific IgE test measures the levels of certain IgE antibodieswith just one sample of bloodto help . Food Allergies: Causes, Symptoms & Treatment. ACAAI Public Website. View your easy-to-read results online in your OnDemand or Labcorp PatientTM accounts, including Linked Accounts (click here for more details). Allergen Profile With Total IgE, RespiratoryArea 13 - Labcorp All Rights Reserved. The quantitative allergen-specific IgE test is indicated (1) to determine whether an individual has elevated allergen-specific IgE antibodies; (2) if specific allergic sensitivity is needed to allow immunotherapy to be initiated; (3) when testing individuals for agents that may potentially cause anaphylaxis; (4) when evaluating individuals who are taking medication (eg, long-acting antihistamines) that may interfere with other testing modalities (eg, skin testing); (5) if immunotherapy or other therapeutic measures based on skin testing results have not led to a satisfactory remission of symptoms; (6) when an individual is unresponsive to medical management where identification of offending allergens may be beneficial. Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. Skin reactions, including hives and itching and flushed or pale skin. Please provide to find available tests you can order. Other names that describe the test. testing to when the result is released to the ordering provider. Detect possible allergic responses to various substances in the environment (see Test Includes) and evaluate for hay fever, asthma, atopic eczema, and respiratory allergy. It usually occurs within minutes of exposure to a food allergen. Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. Allergens included in this panel: Alternaria alternata (tenuis), Aspergillus fumigatus, Bermuda Grass, Birch Tree, Box Elder/Maple Tree, Cat Dander, Cockroach (German), Common Short Ragweed, Cottonwood Tree, D. pteronyssinus (mites), D. farinae (mites), Dog Dander, Elm Tree, Hormodendrum (Cladosporium), Johnson Grass, Mouse Epithelium, Mountain Cedar (Juniper) Tree, Mucor racemosus, Oak Tree, Pecan Tree, Penicillium notatum, Pigweed, Sheep Sorrel (Dock), Timothy Grass, White Mulberry Tree, and IgE Serum Total. A wide range of tests can identify 500+ relevant allergensincluding grasses, foods, molds and animal danderto help you get the allergy answers you need. Pawankar R. Allergic diseases and asthma: a global public health concern and a call to action. American College of Allergy, Asthma, and Immunology. Order Code Name. The CDC recommends allergy testing for patients with asthma to help close gaps in care and mitigate risk for other respiratory illnesses. Allergy Blood Test: What It Is, Purpose, Procedure & Results Turnaround for this test is typically 5-8 business days. Available in two convenient sizes. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. Anaphylaxis. Mayo Clinic, Mayo Foundation for Medical Education and Research. Immunoglobulin E (IgE) is an antibody naturally produced by the immune system. testing to when the result is released to the ordering provider. All Rights Reserved. Respiratory Allergy Profile Region I: CT, MA, ME, NH, NJ, NY, PA, RI 2005;(18)5 434-439. Title. Shop for tests and pay online. Test Code: Also Known As: Common symptoms include but are not limited to: 5-10. Allergens w/Total IgE Area 13. COVID-19 PCR Test (Labcorp Visit) Short Description. After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year. Waserman, S, Bgin, P, and Watson, W. IgE-Mediated Food Allergy. Allergy Asthma Clin Immunol. Quest - 2-10 Business Days. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. All Rights Reserved. Turnaround for this test is typically 3-5 business days. An independent physician will review and approve your test requests; no doctors visit is required. Southern California Coastal Area Allergy Test Panel | Personalabs Labcorp Locations in AZ | Laboratory Testing testing to when the result is released to the ordering provider. 2023 Laboratory Corporation of America Holdings. https://www.worldallergy.org/education-and-programs/education/allergic-disease-resource-center/professionals/ige-in-clinical-allergy-and-allergy-diagnosis, https://acaai.org/news/facts-statistics/allergies, https://www.healthline.com/health/allergies/environmental-allergies#symptoms, https://www.mayoclinic.org/diseases-conditions/hay-fever/symptoms-causes/syc-20373039, https://acaai.org/allergies/types-allergies/pollen-allergy, https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/mowing-down-your-grass-allergies, www.mayoclinic.org/diseases-conditions/pet-allergy/symptoms-causes/syc-20352192, www.mayoclinic.org/diseases-conditions/dust-mites/symptoms-causes/syc-20352173, www.webmd.com/asthma/news/20080317/mice-at-the-tail-end-of-your-asthma-woes#1, Watery, itchy, red eyes (allergic conjunctivitis), Itchy nose, the roof of the mouth, or throat, Swollen, blue-colored skin under the eyes (allergic shiners), An audible whistling or wheezing sound when exhaling, Trouble sleeping caused by shortness of breath, coughing or wheezing, Bouts of coughing or wheezing worsened by a respiratory virus.