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From Dave, child's age 16

Just to shed some more light on my situation. My son is around 290 lbs( and getting bigger. His stomach hangs out of his clothes. Hes had some mishaps because of his weight. A button popped at dinner and he bent down once and split his pants. Hes broken some flimsy furniture before too. I have an old baggy sweatsuit that is huge. XXl sweatpants and xxl sweatshirt. He wore it all the time because it was baggy and now... its tight. His stomach hangs out of the bottom and his rear end peaks out the top. I dont know how he got so big he outgrew sweatpants but I'm so worried. I've tried just about everything to get him to lose weight but nothing seems to work. Can anyone help?