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Varicose Veins or Not?

I'm asking for a relative who refuses medical help. His feet and ankles are swollen and have an extreme burning and tingling pain to them. His veins are dark and puffy and look like they are clotting together.  I have attached a picture and would greatly appreciate any information or tips. It seems to get worse at night after he has been on his feet all day. Someone please help=/
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19830792 tn?1485101357
Did your friend ever get help? sounds like Venous Insufficiency which will progressively get worse if not treated with compression, etc
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