A 48-year-old man presents with sudden onset severe pain, redness and swelling of the first metatarsophalangeal joint. He drinks 30 units of alcohol per week. Serum urate is elevated. What is the most appropriate acute treatment?AOral NSAID such as Naproxen with gastroprotectionBStart Allopurinol immediately during the acute attackCColchicine is avoided in acute goutDLong-term low-dose Prednisolone as monotherapyEAdvise lifestyle changes only without pharmacological treatmentCheck my answer