Hi and thanks for the query, Its important to consider a few issues with respect t her past medical history. How frequent does she have these symptoms? does she have other symptoms or manifestations like in the eyes or the skin? Any family history of allergic rhinitis or asthma? These shall be important in further strengthening suspicion of allergic rhinitis on clinical grounds. An important aspect in the management of this condition is trying to identify the potentiating factors of symptoms and avoiding them. These could range from cold, animals, pollen, etc. Serum Immunoglobulin E levels when measured could help in the diagnosis and follow up of the child. I suggest you consult an ENT specialist, who could associate the expertise of an allergist in the care of the child if need be. Thanks and best regards, Luchuo, MD.