What to Expect with Crohns Disease

I have had Crohns of the ilum now for almost 10 years. My checkup are basically the gi doctor who I love will push on my abdomen, listen to my bowel sound and do blood work. I have been on humaria now for almost 3 years. I missed two doses back to back due to a bad sinus infection. The crohns has spread to my rectum. Has anyone else had this to happen. I know I now have to have both an upper and lower scope and small bowel followthrough to make sure not elsewhere. What are my checkup going to be like now? I have a colonscopy about every 3 years will that increase? My biggest fear is this puts me closer to surgery, does it?

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