This is clearly MCAS, read Robert Afrin's, Molderings articles on mast cell activation(search on pubmed.com).
Mast cell activation disease: a concise practical guide for diagnostic workup and therapeutic options
Afrin has an excellent talk here (from 2016):
2 hours. Beginning is background, biology. Dx criteria in 2nd half hour. 3rd half hour, he goes through long list of symptoms. 4th half hour: answers question.
Another Afrin talk here, from Nov 2017, 1 hour:
I did screenshots of some of his slides; most have time stamps on them.