Daily male "hot flashes"

I have this thing happen to me just about everyday that I call a “hot flash.” It has been going on for probably about 12 years. It’s become more and more frequent over the years, sometimes happening 2 and even 3 times in a day, but typical just once.
The feeling, to my best abilities, can be described as a suddenly hot sensation with a lot of bloating. I will almost always sweat excessively from my lower back on down (not naturally a sweating type). This is often paired with really throaty, continuous burps and/or sometimes hiccups.
As far as when/what triggers this physical response often is dependent on the time of day and my thought process. Basically if its afternoon/evening I am susceptible if I feel awkwardness, discomfort, guilt, shame, embarrassment, or uselessness. Sometimes social situations brings these feelings to surface, but it can also happen if I’m simply alone with my own thoughts. I am highly convinced that simply the wrong stray thought can cause these symptoms to be set off, and then I’m left to deal with the physical effects for anywhere from 3-5 hours thereafter.
My physician has no idea what could be the cause. I’ve had a GI doc scan inside me with no results. My psychiatrist has tried many antidepressants with zero results as well…

Any suggestions or relative experience much appreciated!

hi this sounds somewhat similar to what i go through. I have bad anxiety/health anxiety and i constantly have bloating, burping and i can’t describe this feeling but its like im between short of breath and struggling to swallow.( like a allergic reaction)

Have you noticed if this is followed by a bm?

I had these symptoms for the longest time and I finally made the connection, they happened when my body was preparing for a bm.

Hot flash, sweating where I don’t usually sweat, shortness of breath…and just generally panicky.