What might indicate the presence of a gallbladder obstruction?

The presence of acute pain in the right upper quadrant is a significant indicator of gallbladder obstruction. This type of pain is often associated with conditions such as cholecystitis or biliary colic, where an obstruction prevents the normal flow of bile. The right upper quadrant houses the gallbladder, liver, and surrounding structures, so when there is an obstruction, it typically leads to inflammation or distension of the gallbladder, which can manifest as acute pain.

Increased bile secretion does not directly indicate an obstruction; in fact, an obstruction usually leads to a decrease in bile flow past the obstruction. Lower back pain is not specifically indicative of gallbladder problems, as it is a more generalized symptom that could be associated with different issues. Constipation is also not a direct indicator of gallbladder obstruction and can arise from various gastrointestinal conditions unrelated to gallbladder function. Therefore, acute right upper quadrant pain is a more direct and relevant symptom pointing towards gallbladder obstruction.