Xeljanz and a flare

I have been on xeljanz for almost 2 years. It worked incredibly well for me. The last month I have had small symptoms. I had a scope 2 weeks ago and showed inflammation 2cm from the rectum. Felt great after the scope but the last 5 days I have had mucous and some blood. I have been on pentasa supps and enema and went on a cortisone cream the last few days.
When I got really sick 4 years ago steroids didn’t really work. When I get sick I really ramp up. I know there aren’t a huge amount of options for me but should I stay the course or move onto Stelera? The good news is that I react well to new biologic. The bad news is they only last for a couple years.
Thoughts?

Remicade just stopped being effective and inflammation arose. Yes I am on 10mg twice daily. My options are dwindling. Stelera, entiviyo or perhaps the new MS based drugs. I will stick with the xeljanz and see if the rectal meds can get it under control. In January when it acted up I was able to control it but in the last week it is way more intense with the mucous. I am wondering if i could take the xeljanz combined with the stelera for a bit..

These tacrolimus enemas are not easy to compound. It could take a week for them to be produced. Neither the steroid enemas or asa 5 are doing a thing. In fact my proctitis is getting worse by the day. Really, really depressed. I hate when the GI tells me sorry but your opportunities are starting to run out. Xeljanz was so darn good for 18 months. Major stress and boom I am zero to 100..