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Verifies Veins?

My brother has had this problem for about 2 years now. We're not sure what it is but he refuses help. His feet and ankles are swollen and cause him severe tingling and burning pain. The veins in his feet look like they are forming clots and getting bigger. Any ideas? Do I Need to make him seek medical treatment?  I have attached a picture from about 4 days ago
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Avatar universal
I accidentally posted this in the wrong area. Sorry pregnant mommas.
Compression socks I'm not sure about. I know that when he wears regular socks they hurt him and restrict bloodflow. He even wears a size too big
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Has he tried compression socks?
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