Allergic rhinitis (AR) defined as an immunoglobulin E (IgE) mediated inflammation of nasal mucosa as a result of contact to aeroallergens causing nasal symptoms such as nasal congestion, watery rhinorrhea, nasal itching and sneezing are primarily observed in patients with AR then Snoring or mouth breathing due to nasal obstruction, cough, loss of taste or smell are secondary chronic symptoms of allergic rhinitis. This condition is common in pediatric patients which severely affects their quality of life due to sleep disturbance, irritability or sleepiness affecting emotional, physical, and social aspects of quality of life. Although AR is a very common disease, it is often underdiagnosed. The prevalence of AR is globally increasing. A report from the World Health Organization (WHO) indicates that 40% of the population suffers from one or more allergic diseases When referring to an individual’s health, it is called health-related quality of life (HRQL), it is the impact of an illness and its therapy upon a patient, as perceived by the patient himself so, the goal of therapy should be to reduce impairments that patients consider important. AR in children results in a variety of problems that may impair HRQL, such as the need to rub the eyes and nose, blow nose repeatedly, carry tissues, and take medications, children may have a variety of other limitations than adults, For example, children may have problems at school because of a learning impairment or may be unable to participate in individual or family activities such as playing sports on grass, playing with pets, and camping trips that will probably elicit allergic symptoms. In addition, children may have emotional disturbance as a result of an inability to fully integrate with their peers and they may feel isolated, leading to frustration, sadness, and anger. The pediatric rhino conjunctivitis quality of life questionnaire (PRQLQ) has 23 items in 5 domains (nasal symptoms, ocular symptoms, other symptoms, practical problems, and activities) that children answer on the basis of the previous week. Validation of the instrument has shown that most children give reliable and accurate response