My truck starts running hot then I turn the heater on and it blows cold air but every once in a while the heater will throw out hot air. Then the temp gauge will go down. I've check med the radiator cap and I believe the thermostat is good cause both hoses get got like its opening up. I just don't know what to look at next.

Low coolant, if there is an air pocket in the engine it will make it to the heater core. Once there , the air coming out is cold/cool. Once the coolant fills the heater core, it gets hot. If the coolant is fine hot or cold, then have the HVAC system scanned.

is this a HVAC question heater and a/C?
cold engines, make only cold air
hot engines make hot air.
for 100 +years. now.

HEATER NOT BLOWING COLD,NO HOT AIR FROM HEATER,A/C BLOWS HOT AIR,A/C NOT BLOWING COLD, COLD AIR FROM HEATER,BLEND DOOR ACUTATOR CLOSED,HVAC UNIT NOT OPERATING,
http://alltypesofpartsreplacing.blogspot.com/2012/12/heater-not-blowing-coldno-hot-air-from.html

My 2003 Toyota Camry AC often starts blowing hot air and the AC light starts blinking. I don't know why the following process works, but it does. Using the temp selector (left) reduce the temperature all the way down to Max Cold and then push the Auto button. It will start blowing out very cold air. After a little while push the temp selector to the desired temperature.

To troubleshoot this types of problem,click the link below :----http://howtobyme.blogspot.in/2012/02/heater-blows-only-from-defrost.html
--------Go through the procedure to confirm the issue.

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Engine Overheats and heater blowing cold?

http://howtobyme.blogspot.com/2011/11/engine-overheats-and-heater-blowing.html

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Heat blows cold on drivers side and hot on passenger side?

http://schematicsdiagram.blogspot.com/2011/12/heat-blows-cold-on-drivers-side-and-hot.html

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For car running hot and overheating issues, I suggest to you go through this help links. Click this link below and go through the troubleshooting procedure to take care of the problems: ----Car runs hot? http://howtobyme.blogspot.com/2011/11/car-runs-hot-in-traffic.html
-----------All types of car overheating problems and troubleshooting?

http://technoanswers.blogspot.com/2011/11/all-types-of-car-overheating-problems.html
Car freeze overnight and started overheating while driving?http://technoanswers.blogspot.com/2012/01/car-freeze-overnight-and-started.html-----------Engine Overheats and heater blowing cold?

http://howtobyme.blogspot.com/2011/11/engine-overheats-and-heater-blowing.html

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Car overheats and Air blows hot at idle?
http://howtobyme.blogspot.com/2011/11/car-overheats-and-air-blows-hot-at-idle.html
--------overheating? http://schematicsdiagram.blogspot.com/2011/12/buick-century-overheating.html
----------Car engine Overheats and transmission starts slipping?http://schematicsdiagram.blogspot.com/2011/12/car-engine-overheats-and-transmission.html
----------This details will help.Thanks.

For car running hot and overheating issues,i suggest to you go through this help links. Click this link below and go through the troubleshooting procedure to take care of the problems :----Car runs hot? http://howtobyme.blogspot.com/2011/11/car-runs-hot-in-traffic.html
-----------All types of car overheating problems and troubleshooting?

http://technoanswers.blogspot.com/2011/11/all-types-of-car-overheating-problems.html
Car freeze overnight and started overheating while driving?http://technoanswers.blogspot.com/2012/01/car-freeze-overnight-and-started.html-----------Engine Overheats and heater blowing cold?

http://howtobyme.blogspot.com/2011/11/engine-overheats-and-heater-blowing.html

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Car overheats and Air blows hot at idle?
http://howtobyme.blogspot.com/2011/11/car-overheats-and-air-blows-hot-at-idle.html
--------overheating? http://schematicsdiagram.blogspot.com/2011/12/buick-century-overheating.html
----------Car engine Overheats and transmission starts slipping?http://schematicsdiagram.blogspot.com/2011/12/car-engine-overheats-and-transmission.html
----------This details will help.Thanks.

It seems to Me that, the heatercore is not functioning properly. Its just like a radiator, the hot water runs through the core, once the thermostat opens at it's set temperature and having the blower motor on, it should blow out hot air.

Your heater core may be clogged

ASE mechanic here:
sounds like a mode door is stuck causing the air flow to go across the heater core only and not the evaporator. try activating the hot to cold functions to may be un stick the doors. if no changes then try a computer scanner, these new cars can have HVAC control codes and be accessed with a scanner, telling you the problem. if no access to that a good European shop is the next best thing. They might be cheaper than a Porsche dealer.

it sounds like you have a blend door problem. This is located in the HVAC sysem it closes a door from cold side to hot side. sounds like a bad servo motor or a vacuum leake on that motor. Hope this helps you, please rank this solution