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S10 makes loud noise under cab sounds like maybe the exhaust engine misfiring hesitates when you push gas shakes bad light flashes all time tach jumps constantly wrong?

There are several potential causes for the issues you are experiencing with your S10. Here are some possibilities:

1. Exhaust Leak: A loud noise under the cab could be caused by an exhaust leak. Check the exhaust system for any leaks or loose connections.

2. Engine Misfire: A misfiring engine can cause hesitation, shaking, and a loud noise. This could be caused by faulty spark plugs, ignition coils, or fuel injectors.

3. Vacuum Leak: A vacuum leak can also cause hesitation and rough idling. Check the vacuum lines for any cracks or disconnections.

4. Fuel System Issues: A clogged fuel filter or faulty fuel pump can restrict fuel flow and cause hesitation and shaking.

5. Electrical Issues: A loose or damaged electrical connection can cause a variety of problems, including flickering lights, a jumping tach, and misfires.

6. Transmission Problems: If the transmission is slipping or not shifting properly, it can cause hesitation and shaking.

7. Driveline Issues: A worn-out driveshaft or u-joints can also cause vibration and shaking.

It's important to have your S10 diagnosed by a qualified mechanic to determine the exact cause of the issues you are experiencing. They will be able to perform the necessary tests and repairs to get your truck running smoothly again.