To address the challenges of developing an AI-based system for accurate, real-time localization and continuous monitoring of bleeding during endoscopic submucosal dissection (ESD), we present BleedOrigin-Bench, an ESD bleeding source dataset, and BleedOrigin-Net, a bleeding source localization and tracking framework. BleedOrigin-Bench contains 106,222 frames from 44 surgeries, 1,771 expert-annotated bleeding sources, covering eight anatomical sites and six clinical scenarios. BleedOrigin-Net is a dual-step detection-tracking framework that handles the entire workflow from bleeding event detection to continuous spatial tracking, and achieves state-of-the-art performance compared to existing object detection models and point tracking methods.