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My Mom complains of getting hot, this is not like a fever, actually when we touch her body it feels cold, but it is an internal feeling of heat, like from fear or anxiety.

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I get those "hot flush" type events because of acid reflux. If possible keep a food diary... usually items like tomatoes and caffeine are the culprit.
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FF makes a good point. You might want to google "hot flashes, food and drinks cause." I got a hit from Prevention magazine (which used to be quite good for providing more naturally oriented solutions), on foods and drinks to prevent hot flashes - the Mediterranean diet, which has been recommended as healthful for other medical issues.
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Assuming you've discussed this with one of her physicians and not gotten a definitive diagnosis, I think the next thing to do is document the incidents, noting what occurred immediately preceding one of the events.

Another just very basic question is re the cooling system in her home. Elders frequently don't want to use A/C or fans, but in CA, they're a necessity. She could just be overheating, or as you suspect and I think is just as likely, she's anxious for various reasons. So trying to find the trigger mechanisms might be helpful.

Your profile states that she lives alone. Is she in an apartment, home, in a safe neighborhood, away from CA wildfires? Does she have in-home caregivers or is she entirely on her own?

Does she watch news? That could be very upsetting and cause flushes. Some of the photos of the Louisiana flooding are so disturbing that I find myself emotional after watching them. That kind of upset can cause a hot flash.
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You should be taking her to her PCP stat!
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