If it is a blown head gasket, and the white smoke was coolant, you'd be losing coolant over time.
Has the coolant level been declining?
A head gasket that leaks can do this when hot but seem normal when cold.
There is a test kit you put over the radiator fill opening that can detect a blown head gasket.
As for dumping too much fuel; black smoke, and stinks combined with poor driveability.
Other possible sources of white smoke can be a bad Positive Crank case Ventilation valve or PCV valve.
Or sucking brake fluid from the master cylinder through a bad brake booster.
Valve stem seals, but that smoke is usually blue, and would be most evident after prolonged deceleration followed by acceleration.
I would check ALL the fluid levels.
Make notes.
Then recheck them after a period of 50 to 100 miles should do the trick.
If you are losing a lot of fluid from one source, might be a clue.
If nothing has lost fluid, maybe it is leaking gas through bad swage plugs in the carburetor (common on q-jets), or a blown power valve (common on Holley) or just some damn gasket in the carb.
Maybe start by checking and re checking all the fluids over time to see if something is leaking.
Don't forget power steering level and check hoses for leaks.
Sometimes a power steering leak can spray a fine stream right onto the exhaust and the smoke be blown out under the truck by the radiator fan and look like it is coming from exhaust.