What does your GI have to say, if anything? It doesn't sound like a lot has changed in 8 years. I've got a brother with Crohn's who's had it for about
18 or 19 years and whose case seems quite similar to yours, i.e. it's rectal Crohn's. He's never had surgery or been hospitalised and the strongest med he's taken is azathioprine. He's also been in remission most of the time. So yeah, not every
one who gets Crohn's has to jump straight onto a biologic: the ones with mild cases may well never need to. (Although that said, "mild" Crohn's can sometimes just be Crohn's which hasn't had enough time to kick your arse yet. After 8 years it is fairly unlikely your Crohn's will turn severe, but nothing can be definitively ruled out with this disease.)
In a nutshell, whether you should move up to the next tier of meds depends on A) your quality of life and B) whether your disease has got worse in the last few years. A) is your own decision; discuss B) with your GI.
Dx Crohn's in June 2000. (Yay )
Tried: 5-ASAs, azathioprine, 6MP, Remicade, methotrexate, Humira, diets.
1st surgery 20/2/13 - subtotal colectomy with end ileostomy.
2nd surgery 10/7/15 - ileorectal anastomosis. Stoma reversed and ileum connected to the rectum.
Current status: Chronic flare. Do I have any other kind?
Current meds: 50mg 6MP; Entyvio (started 3/11/16)